15D2174484 CLIA NUMBER - LIFESPRING HARRISON COUNTY OFFICE

Laboratory Demographics

  • CLIA Code: 15D2174484
  • Facility Name: LIFESPRING HARRISON COUNTY OFFICE
  • Facility Address: 535 COUNTRY CLUB ROAD
    CORYDON, IN
    ZIP 47112
  • Facility Phone: (812) 738-2114
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. ERIC YAZEL
  • NPI Number: 1275394330
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 15D2174484
LAB Type Community Clinic
Facility Name LIFESPRING HARRISON COUNTY OFFICE
Street 535 COUNTRY CLUB ROAD
City CORYDON
State IN
ZIP 47112
Phone 8127382114
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2025
Certificate Expiration Date 10/31/2027
Facility Type Community Clinic
Lab Director DR. ERIC YAZEL

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This page was last updated on: 5/18/2026