15D1084628 CLIA NUMBER - UNION HOSP, INC/DBA VANNARA SAKBUN, MD

Laboratory Demographics

  • CLIA Code: 15D1084628
  • Facility Name: UNION HOSP, INC/DBA VANNARA SAKBUN, MD
  • Facility Address: 611 E SPRINGHILL DR
    TERRE HAUTE, IN
    ZIP 47802
  • Facility Phone: 812 478-9845
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: VANNARA SAKBUN
  • NPI Number: 1386930063
  • Taxonomy: 103TC0700X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 15D1084628
LAB Type Physician Office
Facility Name UNION HOSP, INC/DBA VANNARA SAKBUN, MD
Street 611 E SPRINGHILL DR
City TERRE HAUTE
State IN
ZIP 47802
Phone 812 478-9845
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 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Physician Office
Lab Director VANNARA SAKBUN

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