15D2049323 CLIA NUMBER - EVERSIDE HEALTH - BEDFORD CLINIC

Laboratory Demographics

  • CLIA Code: 15D2049323
  • Facility Name: EVERSIDE HEALTH - BEDFORD CLINIC
  • Facility Address: 1901 16TH STREET UPPER LEVEL
    BEDFORD, IN
    ZIP 47421
  • Facility Phone: 812 675-0975
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLIFFORD MITCHEFF
  • NPI Number: 1861890626
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2049323
LAB Type Physician Office
Facility Name EVERSIDE HEALTH - BEDFORD CLINIC
Street 1901 16TH STREET UPPER LEVEL
City BEDFORD
State IN
ZIP 47421
Phone 812 675-0975
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2024
Certificate Expiration Date 11/1/2026
Facility Type Physician Office
Lab Director CLIFFORD MITCHEFF

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