15D0708269 CLIA NUMBER - AMBUCARE CLINIC SOUTH PC

Laboratory Demographics

  • CLIA Code: 15D0708269
  • Facility Name: AMBUCARE CLINIC SOUTH PC
  • Facility Address: 3387 S US HWY 41
    TERRE HAUTE, IN
    ZIP 47802
  • Facility Phone: 812 232-5532
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HOWARD C. RAY
  • NPI Number: 1013907922
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0708269
LAB Type Physician Office
Facility Name AMBUCARE CLINIC SOUTH PC
Street 3387 S US HWY 41
City TERRE HAUTE
State IN
ZIP 47802
Phone 812 232-5532
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Physician Office
Lab Director HOWARD C. RAY

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