15D0884766 CLIA NUMBER - DEACONESS HOSP COMPREHENSIVE OCC MED PROGRAM

Laboratory Demographics

  • CLIA Code: 15D0884766
  • Facility Name: DEACONESS HOSP COMPREHENSIVE OCC MED PROGRAM
  • Facility Address: 329 W COLUMBIA ST
    EVANSVILLE, IN
    ZIP 47710
  • Facility Phone: 812 450-2315
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. DAVID GREER
  • NPI Number: 1457597197
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 15D0884766
LAB Type Ancillary Testing Site in Health Care Center
Facility Name DEACONESS HOSP COMPREHENSIVE OCC MED PROGRAM
Street 329 W COLUMBIA ST
City EVANSVILLE
State IN
ZIP 47710
Phone 812 450-2315
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2024
Certificate Expiration Date 4/10/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. DAVID GREER

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