15D2060787 CLIA NUMBER - EVERSIDE HEALTH UNIFIED HEALTH AND WELLNESS CLINIC

Laboratory Demographics

  • CLIA Code: 15D2060787
  • Facility Name: EVERSIDE HEALTH UNIFIED HEALTH AND WELLNESS CLINIC
  • Facility Address: 7305 QUALITY CIRCLE
    ANDERSON, IN
    ZIP 46013
  • Facility Phone: 704 661-1380
  • Facility Type: Other - CHRONIC MGT
  • Facility Type: Waiver
  • Lab Director: SUSAN CAVINS-STEWART
  • NPI Number: 1235853839
  • Taxonomy: 2083P0500X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2060787
LAB Type Other - CHRONIC MGT
Facility Name EVERSIDE HEALTH UNIFIED HEALTH AND WELLNESS CLINIC
Street 7305 QUALITY CIRCLE
City ANDERSON
State IN
ZIP 46013
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 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Other - CHRONIC MGT
Lab Director SUSAN CAVINS-STEWART

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