15D2138079 CLIA NUMBER - FREEDOM DIALYSIS

Laboratory Demographics

  • CLIA Code: 15D2138079
  • Facility Name: FREEDOM DIALYSIS
  • Facility Address: 800 N MAIN STREET
    EVANSVILLE, IN
    ZIP 47711
  • Facility Phone: 812 423-5368
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: PETER J. JURAN
  • NPI Number: 1558876789
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2138079
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FREEDOM DIALYSIS
Street 800 N MAIN STREET
City EVANSVILLE
State IN
ZIP 47711
Phone 812 423-5368
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2025
Certificate Expiration Date 10/9/2027
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