15D0361056 CLIA NUMBER - TRI-CAP

Laboratory Demographics

CLIA Number: 15D0361056

Facility Name: TRI-CAP

Facility Address:
607 THIRD AVE
JASPER, IN
ZIP 47547
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Facility Phone Number: 812 482-2233

Facility Type: Practitioner Other

Certificate Type: Microscopy

NPI Number: 1295800084

Taxonomy: 261QA0005X - Clinic/Center
An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy.

CLIA Record

Field Name	Field Value
CLIA Number	15D0361056
LAB Type	Practitioner Other
Facility Name	TRI-CAP
Street	607 THIRD AVE
City	JASPER
State	IN
ZIP	47547
Phone	812 482-2233
CertificateType	3
CertificateEffectiveDate	12/13/2023
CertificateExpirationDate	12/12/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024