14D2318288 CLIA NUMBER - CORE FUNCTIONAL HEALTH

Laboratory Demographics

  • CLIA Code: 14D2318288
  • Facility Name: CORE FUNCTIONAL HEALTH
  • Facility Address: 1008 W CHERRY ST - STE A
    MARION, IL
    ZIP 62959
  • Facility Phone: 618 992-3233
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN C. HARRISON
  • NPI Number: 1891531273
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2318288
LAB Type Physician Office
Facility Name CORE FUNCTIONAL HEALTH
Street 1008 W CHERRY ST - STE A
City MARION
State IL
ZIP 62959
Phone 618 992-3233
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Physician Office
Lab Director BRIAN C. HARRISON

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