15D2065571 CLIA NUMBER - ON-SITE HEALTH SOLUTIONS LLC

Laboratory Demographics

  • CLIA Code: 15D2065571
  • Facility Name: ON-SITE HEALTH SOLUTIONS LLC
  • Facility Address: 1251 N EDDY ST STE 201
    SOUTH BEND, IN
    ZIP 46617
  • Facility Phone: 574 243-5108
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: CONNIE M. BRYAN
  • NPI Number: 1265840623
  • Taxonomy: 251J00000X - Nursing Care

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CLIA Record

Field Name Field Value
CLIA Number 15D2065571
LAB Type Health Fair
Facility Name ON-SITE HEALTH SOLUTIONS LLC
Street 1251 N EDDY ST STE 201
City SOUTH BEND
State IN
ZIP 46617
Phone 574 243-5108
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2023
Certificate Expiration Date 9/10/2025
Facility Type Health Fair
Lab Director CONNIE M. BRYAN

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This page was last updated on: 6/4/2025