15D0356684 CLIA NUMBER - PAUL H BULLER MD

Laboratory Demographics

  • CLIA Code: 15D0356684
  • Facility Name: PAUL H BULLER MD
  • Facility Address: 1302 COLLEGE AVE STE 1
    GOSHEN, IN
    ZIP 46526
  • Facility Phone: 219 534-4880
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PAUL H. BULLER
  • NPI Number: 1750328043
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0356684
LAB Type Physician Office
Facility Name PAUL H BULLER MD
Street 1302 COLLEGE AVE STE 1
City GOSHEN
State IN
ZIP 46526
Phone 219 534-4880
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Physician Office
Lab Director PAUL H. BULLER

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