15D0874105 CLIA NUMBER - VASCULAR CENTER OF SOUTHERN INDIANA SURGERY, THE INC

Laboratory Demographics

  • CLIA Code: 15D0874105
  • Facility Name: VASCULAR CENTER OF SOUTHERN INDIANA SURGERY, THE INC
  • Facility Address: 2109 DOCTORS PARK DRIVE
    COLUMBUS, IN
    ZIP 47203
  • Facility Phone: 812 372-2245
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON W. CHRISTIE
  • NPI Number: 1942314554
  • Taxonomy: 2086S0129X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 15D0874105
LAB Type Physician Office
Facility Name VASCULAR CENTER OF SOUTHERN INDIANA SURGERY, THE INC
Street 2109 DOCTORS PARK DRIVE
City COLUMBUS
State IN
ZIP 47203
Phone 812 372-2245
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Physician Office
Lab Director JASON W. CHRISTIE

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