15D2066066 CLIA NUMBER - DEACONESS CLINIC BOONVILLE ATTN HALEY BUCK

Laboratory Demographics

  • CLIA Code: 15D2066066
  • Facility Name: DEACONESS CLINIC BOONVILLE ATTN HALEY BUCK
  • Facility Address: 3150 WARRICK DR SUITE A
    BOONVILLE, IN
    ZIP 47601
  • Facility Phone: 812 858-3355
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. FARYAAL AAMIR
  • NPI Number: 1639502859
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2066066
LAB Type Physician Office
Facility Name DEACONESS CLINIC BOONVILLE ATTN HALEY BUCK
Street 3150 WARRICK DR SUITE A
City BOONVILLE
State IN
ZIP 47601
Phone 812 858-3355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2025
Certificate Expiration Date 9/19/2027
Facility Type Physician Office
Lab Director DR. FARYAAL AAMIR

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