14D2317331 CLIA NUMBER - MIORA

Laboratory Demographics

  • CLIA Code: 14D2317331
  • Facility Name: MIORA
  • Facility Address: 1618 SHERMAN AVE
    EVANSTON, IL
    ZIP 60201
  • Facility Phone: 855 430-5433
  • Facility Type: Other - HEALTH/FITNESS CLUB
  • Facility Type: Waiver
  • Lab Director: GREGORY PIPPERT
  • NPI Number: 1699560151
  • Taxonomy: 202D00000X - Integrative Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2317331
LAB Type Other - HEALTH/FITNESS CLUB
Facility Name MIORA
Street 1618 SHERMAN AVE
City EVANSTON
State IL
ZIP 60201
Phone 855 430-5433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Other - HEALTH/FITNESS CLUB
Lab Director GREGORY PIPPERT

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