15D2051387 CLIA NUMBER - DEACONESS CLINIC CEDAR HALL

Laboratory Demographics

  • CLIA Code: 15D2051387
  • Facility Name: DEACONESS CLINIC CEDAR HALL
  • Facility Address: 2100 N FULTON AVE
    EVANSVILLE, IN
    ZIP 47710
  • Facility Phone: 812 935-0977
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. WILLIAM R. SMITH
  • NPI Number: 1033643010
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 15D2051387
LAB Type Physician Office
Facility Name DEACONESS CLINIC CEDAR HALL
Street 2100 N FULTON AVE
City EVANSVILLE
State IN
ZIP 47710
Phone 812 935-0977
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Physician Office
Lab Director DR. WILLIAM R. SMITH

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