16D2200229 CLIA NUMBER - EVERSIDE HEALTH LLC LOCAL 145

Laboratory Demographics

  • CLIA Code: 16D2200229
  • Facility Name: EVERSIDE HEALTH LLC LOCAL 145
  • Facility Address: 4624 PROGRESS DR, SUITE A
    DAVENPORT, IA
    ZIP 52806
  • Facility Phone: 563 214-1599
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KARL TREIBER
  • NPI Number: 1891447470
  • Taxonomy: 2083P0500X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 16D2200229
LAB Type Physician Office
Facility Name EVERSIDE HEALTH LLC LOCAL 145
Street 4624 PROGRESS DR, SUITE A
City DAVENPORT
State IA
ZIP 52806
Phone 563 214-1599
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Physician Office
Lab Director KARL TREIBER

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