15D2256982 CLIA NUMBER - GENTOX LLC

Laboratory Demographics

  • CLIA Code: 15D2256982
  • Facility Name: GENTOX LLC
  • Facility Address: 1602 N FARES AVE
    EVANSVILLE, IN
    ZIP 47711
  • Facility Phone: 812 437-3784
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: MILINDA MIDDLETON-BITTNER
  • NPI Number: 1295450625
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 15D2256982
LAB Type Independent
Facility Name GENTOX LLC
Street 1602 N FARES AVE
City EVANSVILLE
State IN
ZIP 47711
Phone 812 437-3784
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2024
Certificate Expiration Date 3/29/2026
Facility Type Independent
Lab Director MILINDA MIDDLETON-BITTNER

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