14D2300305 CLIA NUMBER - MOBILE ELS LLC

Laboratory Demographics

  • CLIA Code: 14D2300305
  • Facility Name: MOBILE ELS LLC
  • Facility Address: 133 ROSETTE DR
    BELLEVILLE, IL
    ZIP 62220
  • Facility Phone: 618 545-4018
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: JESHON GREEN
  • NPI Number: 1801518998
  • Taxonomy: 246RP1900X - Technician, Pathology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2300305
LAB Type Mobile Laboratory
Facility Name MOBILE ELS LLC
Street 133 ROSETTE DR
City BELLEVILLE
State IL
ZIP 62220
Phone 618 545-4018
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Mobile Laboratory
Lab Director JESHON GREEN

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