15D0352379 CLIA NUMBER - COMMUNITY PHY OF INDIANA, INC FAMILY MEDICINE CARE, LAPEL

Laboratory Demographics

  • CLIA Code: 15D0352379
  • Facility Name: COMMUNITY PHY OF INDIANA, INC FAMILY MEDICINE CARE, LAPEL
  • Facility Address: 1675 N MAIN ST
    LAPEL, IN
    ZIP 46051
  • Facility Phone: 765 534-3127
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON LEWIS
  • NPI Number: 1649296229
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0352379
LAB Type Physician Office
Facility Name COMMUNITY PHY OF INDIANA, INC FAMILY MEDICINE CARE, LAPEL
Street 1675 N MAIN ST
City LAPEL
State IN
ZIP 46051
Phone 765 534-3127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director JASON LEWIS

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