15D2236005 CLIA NUMBER - EVANSVILLE HEALTH CENTER

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Field Name	Field Value
CLIA Number	15D2236005
LAB Type	Physician Office
Facility Name	EVANSVILLE HEALTH CENTER
Street	1110 PROFESSIONAL BLVD
City	EVANSVILLE
State	IN
ZIP	47714
Phone	812 602-3300
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	9/14/2025
Certificate Expiration Date	9/13/2027
Facility Type	Physician Office
Lab Director	DONALD VAUGHN

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