15D2315188 CLIA NUMBER - CPS-EVANSVILLE ASC LLC

Laboratory Demographics

  • CLIA Code: 15D2315188
  • Facility Name: CPS-EVANSVILLE ASC LLC
  • Facility Address: 6016 E COLUMBIA ST
    EVANSVILLE, IN
    ZIP 47715
  • Facility Phone: 812 916-4513
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NICOLAUS WINTERS
  • NPI Number: 1255199865
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2315188
LAB Type Ambulatory Surgery Center
Facility Name CPS-EVANSVILLE ASC LLC
Street 6016 E COLUMBIA ST
City EVANSVILLE
State IN
ZIP 47715
Phone 812 916-4513
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2024
Certificate Expiration Date 12/8/2026
Facility Type Ambulatory Surgery Center
Lab Director NICOLAUS WINTERS

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