15D0710402 CLIA NUMBER - ARC OF GREATER BOONE COUNTY-, THE HENDRICKS/BOONE CO WIC

Laboratory Demographics

  • CLIA Code: 15D0710402
  • Facility Name: ARC OF GREATER BOONE COUNTY-, THE HENDRICKS/BOONE CO WIC
  • Facility Address: 247 S WAYNE ST
    DANVILLE, IN
    ZIP 46122
  • Facility Phone: 317 745-2027
  • Facility Type: Other - WIC CLINICS
  • Facility Type: Waiver
  • Lab Director: CARRIELYN SHILLINGS
  • NPI Number: 1992860159
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 15D0710402
LAB Type Other - WIC CLINICS
Facility Name ARC OF GREATER BOONE COUNTY-, THE HENDRICKS/BOONE CO WIC
Street 247 S WAYNE ST
City DANVILLE
State IN
ZIP 46122
Phone 317 745-2027
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Other - WIC CLINICS
Lab Director CARRIELYN SHILLINGS

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