15D2215151 CLIA NUMBER - 13TH STREET CLINIC

Laboratory Demographics

  • CLIA Code: 15D2215151
  • Facility Name: 13TH STREET CLINIC
  • Facility Address: 148 13TH STREET
    TELL CITY, IN
    ZIP 47586
  • Facility Phone: 812 547-9661
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSHUA POOS
  • NPI Number: 1922393768
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2215151
LAB Type Physician Office
Facility Name 13TH STREET CLINIC
Street 148 13TH STREET
City TELL CITY
State IN
ZIP 47586
Phone 812 547-9661
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Physician Office
Lab Director JOSHUA POOS

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