15D2239005 CLIA NUMBER - LIFESPRING NEW ALBANY HIGH SCHOOL MEDICAL SERVICES

Laboratory Demographics

  • CLIA Code: 15D2239005
  • Facility Name: LIFESPRING NEW ALBANY HIGH SCHOOL MEDICAL SERVICES
  • Facility Address: 1020 VINCENNES STREET
    NEW ALBANY, IN
    ZIP 47150
  • Facility Phone: 812 280-2080
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: VICTORIA MORGAN
  • NPI Number: 1255006961
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2239005
LAB Type Federally Qualified Health Center
Facility Name LIFESPRING NEW ALBANY HIGH SCHOOL MEDICAL SERVICES
Street 1020 VINCENNES STREET
City NEW ALBANY
State IN
ZIP 47150
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 10/7/2023
Certificate Expiration Date 10/6/2025
Facility Type Federally Qualified Health Center
Lab Director VICTORIA MORGAN

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This page was last updated on: 6/4/2025