15D0352632 CLIA NUMBER - CYNTHIA L WILLS MD PC

Laboratory Demographics

CLIA Number: 15D0352632

Facility Name: CYNTHIA L WILLS MD PC

Facility Address:
99 MEADOW DRIVE SUITE 2
DANVILLE, IN
ZIP 46122
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Facility Phone Number: 317 745-7759

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1225027204

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	15D0352632
LAB Type	Physician Office
Facility Name	CYNTHIA L WILLS MD PC
Street	99 MEADOW DRIVE SUITE 2
City	DANVILLE
State	IN
ZIP	46122
Phone	317 745-7759
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