15D0931986 CLIA NUMBER - FRESENIUS MEDICAL CARE SPENCER

Laboratory Demographics

  • CLIA Code: 15D0931986
  • Facility Name: FRESENIUS MEDICAL CARE SPENCER
  • Facility Address: 11 CRANE AVENUE
    SPENCER, IN
    ZIP 47460
  • Facility Phone: 812 829-3385
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: PRADEEP THODIMA
  • NPI Number: 1215042064
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D0931986
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS MEDICAL CARE SPENCER
Street 11 CRANE AVENUE
City SPENCER
State IN
ZIP 47460
Phone 812 829-3385
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2024
Certificate Expiration Date 6/25/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director PRADEEP THODIMA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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