15D0352643 CLIA NUMBER - HENDRICKS REGIONAL HEALTH DANVILLE INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 15D0352643
  • Facility Name: HENDRICKS REGIONAL HEALTH DANVILLE INTERNAL MEDICINE
  • Facility Address: 208 MEADOW DR
    DANVILLE, IN
    ZIP 46122
  • Facility Phone: 317 718-0044
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLIFFORD E. CRAWFORD
  • NPI Number: 1871065144
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0352643
LAB Type Physician Office
Facility Name HENDRICKS REGIONAL HEALTH DANVILLE INTERNAL MEDICINE
Street 208 MEADOW DR
City DANVILLE
State IN
ZIP 46122
Phone 317 718-0044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Physician Office
Lab Director CLIFFORD E. CRAWFORD

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