15D2211129 CLIA NUMBER - LIFESPRING MOBILE HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 15D2211129
  • Facility Name: LIFESPRING MOBILE HEALTH SERVICES
  • Facility Address: 2277 W FRONTAGE ROAD
    AUSTIN, IN
    ZIP 47102
  • Facility Phone: 812 280-2080
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: JOANN CHILDRESS
  • NPI Number: 1750056461
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2211129
LAB Type Federally Qualified Health Center
Facility Name LIFESPRING MOBILE HEALTH SERVICES
Street 2277 W FRONTAGE ROAD
City AUSTIN
State IN
ZIP 47102
Phone 812 280-2080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Federally Qualified Health Center
Lab Director JOANN CHILDRESS

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