15D0940634 CLIA NUMBER - DEACONESS WELLNESS DEPT

Laboratory Demographics

  • CLIA Code: 15D0940634
  • Facility Name: DEACONESS WELLNESS DEPT
  • Facility Address: 600 MARY ST
    EVANSVILLE, IN
    ZIP 47747
  • Facility Phone: 812 450-6752
  • Facility Type: Other - EMPLOYEE WELLNESS SCREEN
  • Facility Type: Waiver
  • Lab Director: CAPRI WEYER
  • NPI Number: 1871094540
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0940634
LAB Type Other - EMPLOYEE WELLNESS SCREEN
Facility Name DEACONESS WELLNESS DEPT
Street 600 MARY ST
City EVANSVILLE
State IN
ZIP 47747
Phone 812 450-6752
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Other - EMPLOYEE WELLNESS SCREEN
Lab Director CAPRI WEYER

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