15D2218004 CLIA NUMBER - MEDIHEALTH PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 15D2218004
  • Facility Name: MEDIHEALTH PRIMARY CARE
  • Facility Address: 2345 W FRANKLIN ST, STE 102
    EVANSVILLE, IN
    ZIP 47712
  • Facility Phone: 812 270-9903
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HUBERT REYES
  • NPI Number: 1083213607
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2218004
LAB Type Physician Office
Facility Name MEDIHEALTH PRIMARY CARE
Street 2345 W FRANKLIN ST, STE 102
City EVANSVILLE
State IN
ZIP 47712
Phone 812 270-9903
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Physician Office
Lab Director HUBERT REYES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025