15D1002110 CLIA NUMBER - MATTHEW 25 AIDS SERVICES

Laboratory Demographics

  • CLIA Code: 15D1002110
  • Facility Name: MATTHEW 25 AIDS SERVICES
  • Facility Address: 101 NW 1ST STREET SUITE 215
    EVANSVILLE, IN
    ZIP 47708
  • Facility Phone: 812 437-5192
  • Facility Type: Other - HIV CLINIC
  • Facility Type: Waiver
  • Lab Director: JESSICA MENDEL
  • NPI Number: 1598531691
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D1002110
LAB Type Other - HIV CLINIC
Facility Name MATTHEW 25 AIDS SERVICES
Street 101 NW 1ST STREET SUITE 215
City EVANSVILLE
State IN
ZIP 47708
Phone 812 437-5192
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Other - HIV CLINIC
Lab Director JESSICA MENDEL

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