15D1032008 CLIA NUMBER - LAWRENCEBURG URGENT CARE PC

Laboratory Demographics

  • CLIA Code: 15D1032008
  • Facility Name: LAWRENCEBURG URGENT CARE PC
  • Facility Address: 587 W EADS PKWY
    LAWRENCEBURG, IN
    ZIP 47025
  • Facility Phone: 812 539-2911
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: BASHAR M. BOUSO
  • NPI Number: 1629181102
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D1032008
LAB Type Practitioner Other
Facility Name LAWRENCEBURG URGENT CARE PC
Street 587 W EADS PKWY
City LAWRENCEBURG
State IN
ZIP 47025
Phone 812 539-2911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Practitioner Other
Lab Director BASHAR M. BOUSO

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