14D2286300 CLIA NUMBER - EVERSIDE HEALTH DANVILLE LOGAN AVENUE

Laboratory Demographics

  • CLIA Code: 14D2286300
  • Facility Name: EVERSIDE HEALTH DANVILLE LOGAN AVENUE
  • Facility Address: 603 N LOGAN AVE
    DANVILLE, IL
    ZIP 61832
  • Facility Phone: 704 661-1380
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL WILLHITE
  • NPI Number: 1891477634
  • Taxonomy: 2083P0500X - Preventive Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2286300
LAB Type Physician Office
Facility Name EVERSIDE HEALTH DANVILLE LOGAN AVENUE
Street 603 N LOGAN AVE
City DANVILLE
State IL
ZIP 61832
Phone 704 661-1380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type Physician Office
Lab Director MICHAEL WILLHITE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025