15D0925440 CLIA NUMBER - DEACONESS CLINIC INC/DOWNTOWN

Laboratory Demographics

  • CLIA Code: 15D0925440
  • Facility Name: DEACONESS CLINIC INC/DOWNTOWN
  • Facility Address: 120 S E 4TH STREET
    EVANSVILLE, IN
    ZIP 47708
  • Facility Phone: 812 426-9371
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DAVID J. SURPRENANT
  • NPI Number: 1043825664
  • Taxonomy: 103T00000X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 15D0925440
LAB Type Physician Office
Facility Name DEACONESS CLINIC INC/DOWNTOWN
Street 120 S E 4TH STREET
City EVANSVILLE
State IN
ZIP 47708
Phone 812 426-9371
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Physician Office
Lab Director DAVID J. SURPRENANT

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