15D0682018 CLIA NUMBER - ELKHART CLINIC, LLC THE ATTN SHERRIE WHITE

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Laboratory Demographics

CLIA Number: 15D0682018

Facility Name: ELKHART CLINIC, LLC THE ATTN SHERRIE WHITE

Facility Address:
303 S NAPPANEE ST
ELKHART, IN
ZIP 46514
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Facility Phone Number: 574 296-3259

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1518338235

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	15D0682018
LAB Type	Physician Office
Facility Name	ELKHART CLINIC, LLC THE ATTN SHERRIE WHITE
Street	303 S NAPPANEE ST
City	ELKHART
State	IN
ZIP	46514
Phone	574 296-3259
CertificateType	1
CertificateEffectiveDate	12/23/2023
CertificateExpirationDate	12/22/2025
FacilityType	Accreditation

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