15D2020255 CLIA NUMBER - CAROL ANN GOODMAN LLC

Laboratory Demographics

  • CLIA Code: 15D2020255
  • Facility Name: CAROL ANN GOODMAN LLC
  • Facility Address: 1909 W FRANKLIN ST
    EVANSVILLE, IN
    ZIP 47712
  • Facility Phone: 812 456-9736
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CAROL ANN GOODMAN
  • NPI Number: 1366747347
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2020255
LAB Type Physician Office
Facility Name CAROL ANN GOODMAN LLC
Street 1909 W FRANKLIN ST
City EVANSVILLE
State IN
ZIP 47712
Phone 812 456-9736
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 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Physician Office
Lab Director CAROL ANN GOODMAN

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