15D0686880 CLIA NUMBER - DERMATOLOGY OF NOBLESVILLE

Laboratory Demographics

  • CLIA Code: 15D0686880
  • Facility Name: DERMATOLOGY OF NOBLESVILLE
  • Facility Address: 116 LAKEVIEW DR
    NOBLESVILLE, IN
    ZIP 46060
  • Facility Phone: 317 773-7400
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KARL W. SIEBE
  • NPI Number: 1568110054
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 15D0686880
LAB Type Physician Office
Facility Name DERMATOLOGY OF NOBLESVILLE
Street 116 LAKEVIEW DR
City NOBLESVILLE
State IN
ZIP 46060
Phone 317 773-7400
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 9/17/2025
Certificate Expiration Date 9/16/2027
Facility Type Physician Office
Lab Director KARL W. SIEBE

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