15D2078597 CLIA NUMBER - SPRING STREET DIALYSIS

Laboratory Demographics

  • CLIA Code: 15D2078597
  • Facility Name: SPRING STREET DIALYSIS
  • Facility Address: 1601 SPRING ST
    JEFFERSONVILLE, IN
    ZIP 47130
  • Facility Phone: 812 284-2098
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DAVID A. FENDLEY
  • NPI Number: 1538584032
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2078597
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SPRING STREET DIALYSIS
Street 1601 SPRING ST
City JEFFERSONVILLE
State IN
ZIP 47130
Phone 812 284-2098
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2024
Certificate Expiration Date 6/1/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DAVID A. FENDLEY

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