15D0360081 CLIA NUMBER - MUNCIE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 15D0360081
  • Facility Name: MUNCIE PRIMARY CARE
  • Facility Address: 1910 W ROYALE DRIVE
    MUNCIE, IN
    ZIP 47304
  • Facility Phone: 765 289-1011
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MARGARET R. ZELASKO
  • NPI Number: 1467193235
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0360081
LAB Type Physician Office
Facility Name MUNCIE PRIMARY CARE
Street 1910 W ROYALE DRIVE
City MUNCIE
State IN
ZIP 47304
Phone 765 289-1011
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 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Physician Office
Lab Director MARGARET R. ZELASKO

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