15D2054641 CLIA NUMBER - ADVANCED REGIONAL SURGERY CTR, LLC

Laboratory Demographics

  • CLIA Code: 15D2054641
  • Facility Name: ADVANCED REGIONAL SURGERY CTR, LLC
  • Facility Address: 360 MISSOURI AVE 19A, STE 102
    JEFFERSONVILLE, IN
    ZIP 47130
  • Facility Phone: 812 722-1480
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DEAN COLLIS
  • NPI Number: 1710231642
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2054641
LAB Type Ambulatory Surgery Center
Facility Name ADVANCED REGIONAL SURGERY CTR, LLC
Street 360 MISSOURI AVE 19A, STE 102
City JEFFERSONVILLE
State IN
ZIP 47130
Phone 812 722-1480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type Ambulatory Surgery Center
Lab Director DEAN COLLIS

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