15D0688256 CLIA NUMBER - NORTON COMMUNITY MEDICAL ASSOCIATES - CLARK

Laboratory Demographics

  • CLIA Code: 15D0688256
  • Facility Name: NORTON COMMUNITY MEDICAL ASSOCIATES - CLARK
  • Facility Address: 301 GORDON GUTMANN BLVD, SUITE 101
    JEFFERSONVILLE, IN
    ZIP 47130
  • Facility Phone: 812 282-4844
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TINA N. BRADLEY
  • NPI Number: 1881880078
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D0688256
LAB Type Physician Office
Facility Name NORTON COMMUNITY MEDICAL ASSOCIATES - CLARK
Street 301 GORDON GUTMANN BLVD, SUITE 101
City JEFFERSONVILLE
State IN
ZIP 47130
Phone 812 282-4844
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type Physician Office
Lab Director TINA N. BRADLEY

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