15D2127588 CLIA NUMBER - EVERSIDE HEALTH-ELKHART SCHOOLS

Laboratory Demographics

  • CLIA Code: 15D2127588
  • Facility Name: EVERSIDE HEALTH-ELKHART SCHOOLS
  • Facility Address: 2424 CALIFORNIA ROAD
    ELKHART, IN
    ZIP 46514
  • Facility Phone: 574 262-5800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PATRICIA JORDAN
  • NPI Number: 1639626872
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2127588
LAB Type Physician Office
Facility Name EVERSIDE HEALTH-ELKHART SCHOOLS
Street 2424 CALIFORNIA ROAD
City ELKHART
State IN
ZIP 46514
Phone 574 262-5800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Physician Office
Lab Director PATRICIA JORDAN

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