15D2101777 CLIA NUMBER - ASCENSION MEDICAL GROUP ST VINCENT - NEPHROLOGY WASHINGTON

Laboratory Demographics

  • CLIA Code: 15D2101777
  • Facility Name: ASCENSION MEDICAL GROUP ST VINCENT - NEPHROLOGY WASHINGTON
  • Facility Address: 1314 E WALNUT ST, 2ND FLOOR
    WASHINGTON, IN
    ZIP 47501
  • Facility Phone: 812 479-3125
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIJAY K. BHASIN
  • NPI Number: 1487377685
  • Taxonomy: 207RX0202X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2101777
LAB Type Physician Office
Facility Name ASCENSION MEDICAL GROUP ST VINCENT - NEPHROLOGY WASHINGTON
Street 1314 E WALNUT ST, 2ND FLOOR
City WASHINGTON
State IN
ZIP 47501
Phone 812 479-3125
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2025
Certificate Expiration Date 9/9/2027
Facility Type Physician Office
Lab Director VIJAY K. BHASIN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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