15D0706906 CLIA NUMBER - CHARLES F HASBROOK MD PC

Laboratory Demographics

  • CLIA Code: 15D0706906
  • Facility Name: CHARLES F HASBROOK MD PC
  • Facility Address: 1670 W 86TH ST
    INDIANAPOLIS, IN
    ZIP 46260
  • Facility Phone: 317 875-5166
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHARLES F. HASBROOK
  • NPI Number: 1760580526
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 15D0706906
LAB Type Physician Office
Facility Name CHARLES F HASBROOK MD PC
Street 1670 W 86TH ST
City INDIANAPOLIS
State IN
ZIP 46260
Phone 317 875-5166
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 2/19/2024
Certificate Expiration Date 2/18/2026
Facility Type Physician Office
Lab Director CHARLES F. HASBROOK

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