15D2129225 CLIA NUMBER - DEACONESS CROSS POINTE

Laboratory Demographics

  • CLIA Code: 15D2129225
  • Facility Name: DEACONESS CROSS POINTE
  • Facility Address: 445 CROSS POINTE BLVD, STE 330
    EVANSVILLE, IN
    ZIP 47715
  • Facility Phone: 812 471-4611
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NITIN KHADILKAR
  • NPI Number: 1780290312
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 15D2129225
LAB Type Physician Office
Facility Name DEACONESS CROSS POINTE
Street 445 CROSS POINTE BLVD, STE 330
City EVANSVILLE
State IN
ZIP 47715
Phone 812 471-4611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Physician Office
Lab Director DR. NITIN KHADILKAR

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