15D0684642 CLIA NUMBER - REDI-CARE INC PC/DARYL L HERSHBERGER MD

Laboratory Demographics

  • CLIA Code: 15D0684642
  • Facility Name: REDI-CARE INC PC/DARYL L HERSHBERGER MD
  • Facility Address: 2120 N DETROIT ST
    LAGRANGE, IN
    ZIP 46761
  • Facility Phone: 219 463-2468
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DARYL L. HERSHBERGER
  • NPI Number: 1790896611
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D0684642
LAB Type Physician Office
Facility Name REDI-CARE INC PC/DARYL L HERSHBERGER MD
Street 2120 N DETROIT ST
City LAGRANGE
State IN
ZIP 46761
Phone 219 463-2468
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 DARYL L. HERSHBERGER

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