15D0670064 CLIA NUMBER - VANDERBURGH CO WIC PROGRAM

Laboratory Demographics

  • CLIA Code: 15D0670064
  • Facility Name: VANDERBURGH CO WIC PROGRAM
  • Facility Address: 420 MULBERRY ST
    EVANSVILLE, IN
    ZIP 47713
  • Facility Phone: 812 435-5766
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: R KENNETH SPEAR
  • NPI Number: 1578508453
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 15D0670064
LAB Type Other
Facility Name VANDERBURGH CO WIC PROGRAM
Street 420 MULBERRY ST
City EVANSVILLE
State IN
ZIP 47713
Phone 812 435-5766
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Other
Lab Director R KENNETH SPEAR

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