15D0911176 CLIA NUMBER - EAST EVANSVILLE DIALYSIS

Laboratory Demographics

  • CLIA Code: 15D0911176
  • Facility Name: EAST EVANSVILLE DIALYSIS
  • Facility Address: 1312 PROFESSIONAL BLVD
    EVANSVILLE, IN
    ZIP 47714
  • Facility Phone: 812 491-6300
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RICHARD P. SLOAN
  • NPI Number: 1548224082
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D0911176
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EAST EVANSVILLE DIALYSIS
Street 1312 PROFESSIONAL BLVD
City EVANSVILLE
State IN
ZIP 47714
Phone 812 491-6300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RICHARD P. SLOAN

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