15D0356523 CLIA NUMBER - BEACON MED GROUP PEDIATRICS BRISTOL ST

Laboratory Demographics

  • CLIA Code: 15D0356523
  • Facility Name: BEACON MED GROUP PEDIATRICS BRISTOL ST
  • Facility Address: 1627 E BRISTOL ST
    ELKHART, IN
    ZIP 46514
  • Facility Phone: 574 262-0313
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ANDREW G. LAPADAT
  • NPI Number: 1861816761
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 15D0356523
LAB Type Physician Office
Facility Name BEACON MED GROUP PEDIATRICS BRISTOL ST
Street 1627 E BRISTOL ST
City ELKHART
State IN
ZIP 46514
Phone 574 262-0313
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/3/2025
Certificate Expiration Date 7/2/2027
Facility Type Physician Office
Lab Director ANDREW G. LAPADAT

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