15D0714318 CLIA NUMBER - DOUGLAS W MORRELL MD

Laboratory Demographics

  • CLIA Code: 15D0714318
  • Facility Name: DOUGLAS W MORRELL MD
  • Facility Address: 606 E 11TH ST PO BOX 460
    RUSHVILLE, IN
    ZIP 46173
  • Facility Phone: 765 932-2965
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DOUGLAS W. MORRELL
  • NPI Number: 1558477802
  • Taxonomy: 207Q00000X - Family Medicine

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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
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 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Physician Office
Lab Director DOUGLAS W. MORRELL

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