15D2248889 CLIA NUMBER - TRI-STATE ORTHOPAEDIC SURGEONS, INC

Laboratory Demographics

  • CLIA Code: 15D2248889
  • Facility Name: TRI-STATE ORTHOPAEDIC SURGEONS, INC
  • Facility Address: 225 CROSSLAKE DRIVE
    EVANSVILLE, IN
    ZIP 47715
  • Facility Phone: 812 488-4639
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JULIE NEWTON
  • NPI Number: 1710366323
  • Taxonomy: 1223S0112X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 15D2248889
LAB Type Physician Office
Facility Name TRI-STATE ORTHOPAEDIC SURGEONS, INC
Street 225 CROSSLAKE DRIVE
City EVANSVILLE
State IN
ZIP 47715
Phone 812 488-4639
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Physician Office
Lab Director JULIE NEWTON

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