15D2174485 CLIA NUMBER - LIFESPRING JEFFERSON COUNTY OFFICE

Laboratory Demographics

  • CLIA Code: 15D2174485
  • Facility Name: LIFESPRING JEFFERSON COUNTY OFFICE
  • Facility Address: 1405 BEAR STREET
    MADISON, IN
    ZIP 47250
  • Facility Phone: 812 265-4513
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. ERIC YAZEL
  • NPI Number: 1982465050
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 15D2174485
LAB Type Community Clinic
Facility Name LIFESPRING JEFFERSON COUNTY OFFICE
Street 1405 BEAR STREET
City MADISON
State IN
ZIP 47250
Phone 812 265-4513
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Community Clinic
Lab Director DR. ERIC YAZEL

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