15D0884795 CLIA NUMBER - WHITEWATER SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 15D0884795
  • Facility Name: WHITEWATER SURGERY CENTER LLC
  • Facility Address: 1900 CHESTER BLVD
    RICHMOND, IN
    ZIP 47374
  • Facility Phone: 765 966-1200
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. KEVIN T. SCRIPTURE
  • NPI Number: 1306079330
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D0884795
LAB Type Ambulatory Surgery Center
Facility Name WHITEWATER SURGERY CENTER LLC
Street 1900 CHESTER BLVD
City RICHMOND
State IN
ZIP 47374
Phone 765 966-1200
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 Ambulatory Surgery Center
Lab Director DR. KEVIN T. SCRIPTURE

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