15D0361707 CLIA NUMBER - DOUGLAS S PALMENTER MD

Laboratory Demographics

  • CLIA Code: 15D0361707
  • Facility Name: DOUGLAS S PALMENTER MD
  • Facility Address: 4933 PLAZA E BLVD
    EVANSVILLE, IN
    ZIP 47715
  • Facility Phone: 812 479-6907
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOUGLAS S. PALMENTER
  • NPI Number: 1134109127
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 15D0361707
LAB Type Physician Office
Facility Name DOUGLAS S PALMENTER MD
Street 4933 PLAZA E BLVD
City EVANSVILLE
State IN
ZIP 47715
Phone 812 479-6907
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2024
Certificate Expiration Date 9/14/2026
Facility Type Physician Office
Lab Director DOUGLAS S. PALMENTER

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