15D2125947 CLIA NUMBER - EVERSIDE HEALTH, LLC COBS HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 15D2125947
  • Facility Name: EVERSIDE HEALTH, LLC COBS HEALTH CENTER
  • Facility Address: 320 MLK BLVD SUITE 300
    SOUTH BEND, IN
    ZIP 46601
  • Facility Phone: 574 406-6376
  • Facility Type: Other - CHRONIC MGT
  • Facility Type: Waiver
  • Lab Director: MICHAEL HELMS
  • NPI Number: 1609232321
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2125947
LAB Type Other - CHRONIC MGT
Facility Name EVERSIDE HEALTH, LLC COBS HEALTH CENTER
Street 320 MLK BLVD SUITE 300
City SOUTH BEND
State IN
ZIP 46601
Phone 574 406-6376
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Other - CHRONIC MGT
Lab Director MICHAEL HELMS

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