15D0997241 CLIA NUMBER - ST VINCENT EVANSVILLE MEDICAL GROUP/BELLEMEADE FAMILY PHYSICIANS

Laboratory Demographics

  • CLIA Code: 15D0997241
  • Facility Name: ST VINCENT EVANSVILLE MEDICAL GROUP/BELLEMEADE FAMILY PHYSICIANS
  • Facility Address: 3801 BELLEMEADE AVENUE, SUITE 200B
    EVANSVILLE, IN
    ZIP 47714
  • Facility Phone: 812 485-3737
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNE ALEXIS
  • NPI Number: 1851950224
  • Taxonomy: 2080P0203X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 15D0997241
LAB Type Physician Office
Facility Name ST VINCENT EVANSVILLE MEDICAL GROUP/BELLEMEADE FAMILY PHYSICIANS
Street 3801 BELLEMEADE AVENUE, SUITE 200B
City EVANSVILLE
State IN
ZIP 47714
Phone 812 485-3737
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2023
Certificate Expiration Date 12/13/2025
Facility Type Physician Office
Lab Director ANNE ALEXIS

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