15D0361275 CLIA NUMBER - CHESTER R BURKETT MD

Laboratory Demographics

  • CLIA Code: 15D0361275
  • Facility Name: CHESTER R BURKETT MD
  • Facility Address: 40 W FLETCHALL ST
    POSEYVILLE, IN
    ZIP 47633
  • Facility Phone: 812 425-6421
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHESTER R. BURKETT
  • NPI Number: 1346200888
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0361275
LAB Type Physician Office
Facility Name CHESTER R BURKETT MD
Street 40 W FLETCHALL ST
City POSEYVILLE
State IN
ZIP 47633
Phone 812 425-6421
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 2/19/2025
Certificate Expiration Date 2/18/2027
Facility Type Physician Office
Lab Director CHESTER R. BURKETT

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