15D2256579 CLIA NUMBER - VB MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 15D2256579
  • Facility Name: VB MEDICAL GROUP
  • Facility Address: 111 QUARTERMASTER COURT
    JEFFERSONVILLE, IN
    ZIP 47130
  • Facility Phone: 812 920-3005
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VANESSA B. SIMS
  • NPI Number: 1285234237
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 15D2256579
LAB Type Physician Office
Facility Name VB MEDICAL GROUP
Street 111 QUARTERMASTER COURT
City JEFFERSONVILLE
State IN
ZIP 47130
Phone 812 920-3005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Physician Office
Lab Director VANESSA B. SIMS

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