15D0700073 CLIA NUMBER - REID PRIMARY & SPECIALTY CARE- CAMBRIDGE CITY

Laboratory Demographics

  • CLIA Code: 15D0700073
  • Facility Name: REID PRIMARY & SPECIALTY CARE- CAMBRIDGE CITY
  • Facility Address: 1154 SOUTH STATE ROAD 1, SUITE 1
    CAMBRIDGE CITY, IN
    ZIP 47327
  • Facility Phone: 765 478-6108
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES R. BERTSCH
  • NPI Number: 1154324630
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D0700073
LAB Type Physician Office
Facility Name REID PRIMARY & SPECIALTY CARE- CAMBRIDGE CITY
Street 1154 SOUTH STATE ROAD 1, SUITE 1
City CAMBRIDGE CITY
State IN
ZIP 47327
Phone 765 478-6108
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2024
Certificate Expiration Date 9/9/2026
Facility Type Physician Office
Lab Director JAMES R. BERTSCH

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