15D0968421 CLIA NUMBER - CRESCENT CITY SURGERY CENTER, LLC DBA VALLEY SUGERY CENTER

Laboratory Demographics

  • CLIA Code: 15D0968421
  • Facility Name: CRESCENT CITY SURGERY CENTER, LLC DBA VALLEY SUGERY CENTER
  • Facility Address: 6201 E COLUMBIA STREET
    EVANSVILLE, IN
    ZIP 47715
  • Facility Phone: 812 435-1600
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Microscopy
  • Lab Director: DREW N. SOMMERVILLE
  • NPI Number: 1114253093
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D0968421
LAB Type Ambulatory Surgery Center
Facility Name CRESCENT CITY SURGERY CENTER, LLC DBA VALLEY SUGERY CENTER
Street 6201 E COLUMBIA STREET
City EVANSVILLE
State IN
ZIP 47715
Phone 812 435-1600
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Ambulatory Surgery Center
Lab Director DREW N. SOMMERVILLE

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