15D0352311 CLIA NUMBER - COMMUNITY HEALTH NETWORK FAMILY MEDICINE CARE ELWOOD

Laboratory Demographics

  • CLIA Code: 15D0352311
  • Facility Name: COMMUNITY HEALTH NETWORK FAMILY MEDICINE CARE ELWOOD
  • Facility Address: 12091 NORTH STATE ROAD 37
    ELWOOD, IN
    ZIP 46036
  • Facility Phone: 765 298-2800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RONALD N. DUNCAN
  • NPI Number: 1669469284
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0352311
LAB Type Physician Office
Facility Name COMMUNITY HEALTH NETWORK FAMILY MEDICINE CARE ELWOOD
Street 12091 NORTH STATE ROAD 37
City ELWOOD
State IN
ZIP 46036
Phone 765 298-2800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Physician Office
Lab Director DR. RONALD N. DUNCAN

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