15D2089764 CLIA NUMBER - EVERSIDE HEALTH LLC-AISIN SEYMOUR

Laboratory Demographics

  • CLIA Code: 15D2089764
  • Facility Name: EVERSIDE HEALTH LLC-AISIN SEYMOUR
  • Facility Address: 1414 E TIPTON ST
    SEYMOUR, IN
    ZIP 47274
  • Facility Phone: 812 405-2039
  • Facility Type: Other - CHRONIC MGT
  • Facility Type: Waiver
  • Lab Director: MICHAEL WILLHITE
  • NPI Number: 1871991976
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2089764
LAB Type Other - CHRONIC MGT
Facility Name EVERSIDE HEALTH LLC-AISIN SEYMOUR
Street 1414 E TIPTON ST
City SEYMOUR
State IN
ZIP 47274
Phone 812 405-2039
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Other - CHRONIC MGT
Lab Director MICHAEL WILLHITE

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