15D2074952 CLIA NUMBER - EVERSIDE HEALTH-GECOM

Laboratory Demographics

  • CLIA Code: 15D2074952
  • Facility Name: EVERSIDE HEALTH-GECOM
  • Facility Address: 1035 BARACHEL LANE
    GREENSBURG, IN
    ZIP 47240
  • Facility Phone: 812 222-0051
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIC WESSEL
  • NPI Number: 1639567779
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2074952
LAB Type Physician Office
Facility Name EVERSIDE HEALTH-GECOM
Street 1035 BARACHEL LANE
City GREENSBURG
State IN
ZIP 47240
Phone 812 222-0051
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2024
Certificate Expiration Date 3/18/2026
Facility Type Physician Office
Lab Director ERIC WESSEL

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