15D0352748 CLIA NUMBER - FAMILY MEDICINE OF GREENCASTLE

Laboratory Demographics

  • CLIA Code: 15D0352748
  • Facility Name: FAMILY MEDICINE OF GREENCASTLE
  • Facility Address: 309 MEDIC WAY
    GREENCASTLE, IN
    ZIP 46135
  • Facility Phone: 765 301-7200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADAM AMOS
  • NPI Number: 1437750015
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D0352748
LAB Type Physician Office
Facility Name FAMILY MEDICINE OF GREENCASTLE
Street 309 MEDIC WAY
City GREENCASTLE
State IN
ZIP 46135
Phone 765 301-7200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Physician Office
Lab Director ADAM AMOS

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