15D2214290 CLIA NUMBER - HERITAGE HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 15D2214290
  • Facility Name: HERITAGE HOSPICE, INC
  • Facility Address: 1202 WEST BUENA VISTA RD SUITE 107
    EVANSVILLE, IN
    ZIP 47711
  • Facility Phone: 812 475-9712
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: VANESSA DEBORD
  • NPI Number: 1669462321
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2214290
LAB Type Hospice
Facility Name HERITAGE HOSPICE, INC
Street 1202 WEST BUENA VISTA RD SUITE 107
City EVANSVILLE
State IN
ZIP 47711
Phone 812 475-9712
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Hospice
Lab Director VANESSA DEBORD

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