15D2019294 CLIA NUMBER - LIFESPRING COMMUNITY MEDICAL SERVICES

Laboratory Demographics

  • CLIA Code: 15D2019294
  • Facility Name: LIFESPRING COMMUNITY MEDICAL SERVICES
  • Facility Address: 1036 SHARON DR
    JEFFERSONVILLE, IN
    ZIP 47130
  • Facility Phone: (812) 283-7116
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. ERIC YAZEL
  • NPI Number: 1790546885
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2019294
LAB Type Federally Qualified Health Center
Facility Name LIFESPRING COMMUNITY MEDICAL SERVICES
Street 1036 SHARON DR
City JEFFERSONVILLE
State IN
ZIP 47130
Phone 8122837116
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Federally Qualified Health Center
Lab Director DR. ERIC YAZEL

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This page was last updated on: 5/18/2026