15D2015465 CLIA NUMBER - DEACONESS CLINIC ALLERGY EAST

Laboratory Demographics

  • CLIA Code: 15D2015465
  • Facility Name: DEACONESS CLINIC ALLERGY EAST
  • Facility Address: 6221 E PHYSICIANS CT, STE 1
    EVANSVILLE, IN
    ZIP 47715
  • Facility Phone: 812 479-3153
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON F. WHITE
  • NPI Number: 1225468937
  • Taxonomy: 207K00000X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 15D2015465
LAB Type Physician Office
Facility Name DEACONESS CLINIC ALLERGY EAST
Street 6221 E PHYSICIANS CT, STE 1
City EVANSVILLE
State IN
ZIP 47715
Phone 812 479-3153
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2024
Certificate Expiration Date 10/27/2026
Facility Type Physician Office
Lab Director JASON F. WHITE

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