15D2307337 CLIA NUMBER - DEACONESS CLINIC FELSTEAD

Laboratory Demographics

  • CLIA Code: 15D2307337
  • Facility Name: DEACONESS CLINIC FELSTEAD
  • Facility Address: 801 FELSTEAD RD
    EVANSVILLE, IN
    ZIP 47712
  • Facility Phone: 812 490-3880
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SHELY FEHRENBACHER
  • NPI Number: 1821038316
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2307337
LAB Type Physician Office
Facility Name DEACONESS CLINIC FELSTEAD
Street 801 FELSTEAD RD
City EVANSVILLE
State IN
ZIP 47712
Phone 812 490-3880
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Physician Office
Lab Director SHELY FEHRENBACHER

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