15D0671957 CLIA NUMBER - JOSEPH H BEAVEN MD LLC

Laboratory Demographics

  • CLIA Code: 15D0671957
  • Facility Name: JOSEPH H BEAVEN MD LLC
  • Facility Address: 9431 COUNTY ROAD 403
    CHARLESTOWN, IN
    ZIP 47111
  • Facility Phone: (812) 256-2882
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOSEPH H. BEAVEN
  • NPI Number: 1275641573
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0671957
LAB Type Physician Office
Facility Name JOSEPH H BEAVEN MD LLC
Street 9431 COUNTY ROAD 403
City CHARLESTOWN
State IN
ZIP 47111
Phone 8122562882
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JOSEPH H. BEAVEN

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This page was last updated on: 5/18/2026