15D2226733 CLIA NUMBER - EVERSIDE HEALTH-COVINGTON IN CLINIC

Laboratory Demographics

  • CLIA Code: 15D2226733
  • Facility Name: EVERSIDE HEALTH-COVINGTON IN CLINIC
  • Facility Address: 416 UNION ST
    COVINGTON, IN
    ZIP 47932
  • Facility Phone: 866 808-6005
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CRYSTAL WOODS
  • NPI Number: 1881358968
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2226733
LAB Type Physician Office
Facility Name EVERSIDE HEALTH-COVINGTON IN CLINIC
Street 416 UNION ST
City COVINGTON
State IN
ZIP 47932
Phone 866 808-6005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Physician Office
Lab Director CRYSTAL WOODS

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