15D2173847 CLIA NUMBER - DEACONESS SPECIALTY PHYSICIANS, INC/NEPHROLOGY COLUMBIA

Laboratory Demographics

  • CLIA Code: 15D2173847
  • Facility Name: DEACONESS SPECIALTY PHYSICIANS, INC/NEPHROLOGY COLUMBIA
  • Facility Address: 533 W COLUMBIA STREET
    EVANSVILLE, IN
    ZIP 47710
  • Facility Phone: 812 492-5202
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NAROTHAMA REDDY AEDDULA
  • NPI Number: 1275289621
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 15D2173847
LAB Type Physician Office
Facility Name DEACONESS SPECIALTY PHYSICIANS, INC/NEPHROLOGY COLUMBIA
Street 533 W COLUMBIA STREET
City EVANSVILLE
State IN
ZIP 47710
Phone 812 492-5202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2023
Certificate Expiration Date 10/20/2025
Facility Type Physician Office
Lab Director NAROTHAMA REDDY AEDDULA

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