15D0352606 CLIA NUMBER - IU HEALTH PHYSICIANS FAMILY MEDICINE BROWNSBURG

Laboratory Demographics

CLIA Number: 15D0352606

Facility Name: IU HEALTH PHYSICIANS FAMILY MEDICINE BROWNSBURG

Facility Address:
1375 N GREEN ST STE 100
BROWNSBURG, IN
ZIP 46112
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Facility Phone Number: 317 852-2251

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1114302965

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	15D0352606
LAB Type	Physician Office
Facility Name	IU HEALTH PHYSICIANS FAMILY MEDICINE BROWNSBURG
Street	1375 N GREEN ST STE 100
City	BROWNSBURG
State	IN
ZIP	46112
Phone	317 852-2251
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024