15D0669916 CLIA NUMBER - IU HEALTH BALL MEM PHY, INC

Laboratory Demographics

  • CLIA Code: 15D0669916
  • Facility Name: IU HEALTH BALL MEM PHY, INC
  • Facility Address: 5501 W BETHEL AVE, STE C
    MUNCIE, IN
    ZIP 47304
  • Facility Phone: 765 289-5410
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BEATRIZ MARTINEZ-QUINTERO
  • NPI Number: 1720458086
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D0669916
LAB Type Physician Office
Facility Name IU HEALTH BALL MEM PHY, INC
Street 5501 W BETHEL AVE, STE C
City MUNCIE
State IN
ZIP 47304
Phone 765 289-5410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2024
Certificate Expiration Date 4/18/2026
Facility Type Physician Office
Lab Director BEATRIZ MARTINEZ-QUINTERO

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