15D0700086 CLIA NUMBER - UMG DOWNTOWN CONVENIENT CARE

Laboratory Demographics

  • CLIA Code: 15D0700086
  • Facility Name: UMG DOWNTOWN CONVENIENT CARE
  • Facility Address: 221 SOUTH 6TH STREET
    TERRE HAUTE, IN
    ZIP 47807
  • Facility Phone: 812 242-3737
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIC A. PICKRELL
  • NPI Number: 1457366098
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D0700086
LAB Type Physician Office
Facility Name UMG DOWNTOWN CONVENIENT CARE
Street 221 SOUTH 6TH STREET
City TERRE HAUTE
State IN
ZIP 47807
Phone 812 242-3737
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Physician Office
Lab Director ERIC A. PICKRELL

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