15D0361484 CLIA NUMBER - WILLIAM A BLUME MD

Laboratory Demographics

  • CLIA Code: 15D0361484
  • Facility Name: WILLIAM A BLUME MD
  • Facility Address: 4501 N 4TH AVE
    EVANSVILLE, IN
    ZIP 47710
  • Facility Phone: 812 422-7212
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM A. BLUME
  • NPI Number: 1952392490
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0361484
LAB Type Physician Office
Facility Name WILLIAM A BLUME MD
Street 4501 N 4TH AVE
City EVANSVILLE
State IN
ZIP 47710
Phone 812 422-7212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2023
Certificate Expiration Date 11/3/2025
Facility Type Physician Office
Lab Director WILLIAM A. BLUME

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