15D0714318 CLIA NUMBER - DOUGLAS W MORRELL MD

Laboratory Demographics

CLIA Number: 15D0714318

Facility Name: DOUGLAS W MORRELL MD

Facility Address:
606 E 11TH ST PO BOX 460
RUSHVILLE, IN
ZIP 46173
Get Directions

Facility Phone Number: 765 932-2965

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1558477802

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	15D0714318
LAB Type	Physician Office
Facility Name	DOUGLAS W MORRELL MD
Street	606 E 11TH ST PO BOX 460
City	RUSHVILLE
State	IN
ZIP	46173
Phone	765 932-2965
CertificateType	3
CertificateEffectiveDate	3/21/2024
CertificateExpirationDate	3/20/2026
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024