15D2118637 CLIA NUMBER - DEACONESS CLINIC EXPRESS

Laboratory Demographics

  • CLIA Code: 15D2118637
  • Facility Name: DEACONESS CLINIC EXPRESS
  • Facility Address: 2622 MENARDS DR
    EVANSVILLE, IN
    ZIP 47715
  • Facility Phone: 812 436-4526
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DREW MEHTA
  • NPI Number: 1114487642
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2118637
LAB Type Physician Office
Facility Name DEACONESS CLINIC EXPRESS
Street 2622 MENARDS DR
City EVANSVILLE
State IN
ZIP 47715
Phone 812 436-4526
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Physician Office
Lab Director DR. DREW MEHTA

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