15D2283621 CLIA NUMBER - EVERSIDE HEALTH-RICHMOND 8TH STREET

Laboratory Demographics

  • CLIA Code: 15D2283621
  • Facility Name: EVERSIDE HEALTH-RICHMOND 8TH STREET
  • Facility Address: 1301 SOUTH 8TH STREET
    RICHMOND, IN
    ZIP 47374
  • Facility Phone: 765 200-7259
  • Facility Type: Other - CHRONIC MGT
  • Facility Type: Waiver
  • Lab Director: RAE RADER
  • NPI Number: 1376236760
  • Taxonomy: 2083P0500X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2283621
LAB Type Other - CHRONIC MGT
Facility Name EVERSIDE HEALTH-RICHMOND 8TH STREET
Street 1301 SOUTH 8TH STREET
City RICHMOND
State IN
ZIP 47374
Phone 765 200-7259
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Other - CHRONIC MGT
Lab Director RAE RADER

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