15D2013545 CLIA NUMBER - DEACONESS CLINIC DOWNTOWN

Laboratory Demographics

  • CLIA Code: 15D2013545
  • Facility Name: DEACONESS CLINIC DOWNTOWN
  • Facility Address: 120 SE 4TH ST
    EVANSVILLE, IN
    ZIP 47713
  • Facility Phone: 812 492-5122
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM SMITH
  • NPI Number: 1720328685
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2013545
LAB Type Physician Office
Facility Name DEACONESS CLINIC DOWNTOWN
Street 120 SE 4TH ST
City EVANSVILLE
State IN
ZIP 47713
Phone 812 492-5122
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type Physician Office
Lab Director WILLIAM SMITH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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