15D2123067 CLIA NUMBER - EAGLES DIALYSIS

Laboratory Demographics

  • CLIA Code: 15D2123067
  • Facility Name: EAGLES DIALYSIS
  • Facility Address: 5301 PEARL DR, STE 300
    EVANSVILLE, IN
    ZIP 47712
  • Facility Phone: 812 467-0161
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: PETER J. JURAN
  • NPI Number: 1720536295
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2123067
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EAGLES DIALYSIS
Street 5301 PEARL DR, STE 300
City EVANSVILLE
State IN
ZIP 47712
Phone 812 467-0161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director PETER J. JURAN

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