15D0680566 CLIA NUMBER - UNION MEDICAL GROUP DIABETES CLINIC

Laboratory Demographics

  • CLIA Code: 15D0680566
  • Facility Name: UNION MEDICAL GROUP DIABETES CLINIC
  • Facility Address: 422 POPLAR ST
    TERRE HAUTE, IN
    ZIP 47807
  • Facility Phone: 812 244-5055
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHANIE D. ARNOLD
  • NPI Number: 1467443838
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D0680566
LAB Type Physician Office
Facility Name UNION MEDICAL GROUP DIABETES CLINIC
Street 422 POPLAR ST
City TERRE HAUTE
State IN
ZIP 47807
Phone 812 244-5055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director STEPHANIE D. ARNOLD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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