15D0356898 CLIA NUMBER - RONALD W POWELL MD

Laboratory Demographics

  • CLIA Code: 15D0356898
  • Facility Name: RONALD W POWELL MD
  • Facility Address: 410 LINCOLN WAY W STE 102
    OSCEOLA, IN
    ZIP 46561
  • Facility Phone: 574 674-5100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RONALD W. POWELL
  • NPI Number: 1710986641
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0356898
LAB Type Physician Office
Facility Name RONALD W POWELL MD
Street 410 LINCOLN WAY W STE 102
City OSCEOLA
State IN
ZIP 46561
Phone 574 674-5100
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director RONALD W. POWELL

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