15D0358767 CLIA NUMBER - PARKVIEW LOGANSPORT HOSPITAL INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 15D0358767
  • Facility Name: PARKVIEW LOGANSPORT HOSPITAL INTERNAL MEDICINE
  • Facility Address: 1201 MICHIGAN AVE STE 170
    LOGANSPORT, IN
    ZIP 46947
  • Facility Phone: 574 722-4331
  • Facility Type: Other - HOPD
  • Facility Type: Waiver
  • Lab Director: CHERIE BENNETT
  • NPI Number: 1356320469
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 15D0358767
LAB Type Other - HOPD
Facility Name PARKVIEW LOGANSPORT HOSPITAL INTERNAL MEDICINE
Street 1201 MICHIGAN AVE STE 170
City LOGANSPORT
State IN
ZIP 46947
Phone 574 722-4331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Other - HOPD
Lab Director CHERIE BENNETT

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