15D0361712 CLIA NUMBER - WILLIAM J TULEY MD PC

Laboratory Demographics

  • CLIA Code: 15D0361712
  • Facility Name: WILLIAM J TULEY MD PC
  • Facility Address: 1200 PROFESSIONAL BLVD
    EVANSVILLE, IN
    ZIP 47714
  • Facility Phone: 812 479-9500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM J. TULEY
  • NPI Number: 1952366643
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0361712
LAB Type Physician Office
Facility Name WILLIAM J TULEY MD PC
Street 1200 PROFESSIONAL BLVD
City EVANSVILLE
State IN
ZIP 47714
Phone 812 479-9500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Physician Office
Lab Director WILLIAM J. TULEY

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