DEACONESS CLINIC, INC
NPI 1174026363
Clinic/Center in Boonville, IN
About Deaconess Clinic, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEACONESS CLINIC, INC (NPI 1174026363) is a healthcare organization registered as a clinic/center in Boonville, Indiana and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through February 20, 2028 and lists Cheryl Annette Wathen, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D2144696
- Facility Type
- Physician Office
- Certificate Effective Date
- February 21, 2026
- Certificate Expiration Date
- February 20, 2028
- Laboratory Director
- SCOTT ULOTH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Deaconess Clinic, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174026363, enumerated as an "organization" on March 14, 2018.
The provider is located at 930 W MAIN ST BOONVILLE, IN 47601 and the phone number is (812) 641-0088.
Clinic/Center with taxonomy code 261Q00000X.
