15D0361297 CLIA NUMBER - DEACONESS CLINIC - OAKLAND CITY

Laboratory Demographics

  • CLIA Code: 15D0361297
  • Facility Name: DEACONESS CLINIC - OAKLAND CITY
  • Facility Address: 1204 WILLIAMS ST
    OAKLAND CITY, IN
    ZIP 47660
  • Facility Phone: 812 749-6187
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HOLLY HEICHELBECH
  • NPI Number: 1396040374
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0361297
LAB Type Physician Office
Facility Name DEACONESS CLINIC - OAKLAND CITY
Street 1204 WILLIAMS ST
City OAKLAND CITY
State IN
ZIP 47660
Phone 812 749-6187
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Physician Office
Lab Director HOLLY HEICHELBECH

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