15D0866135 CLIA NUMBER - HANCOCK OB/GYN

Laboratory Demographics

  • CLIA Code: 15D0866135
  • Facility Name: HANCOCK OB/GYN
  • Facility Address: 300 EAST BOYD AVE, STE 208
    GREENFIELD, IN
    ZIP 46140
  • Facility Phone: 317 462-1992
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: THOMAS M. JONES
  • NPI Number: 1467527242
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 15D0866135
LAB Type Physician Office
Facility Name HANCOCK OB/GYN
Street 300 EAST BOYD AVE, STE 208
City GREENFIELD
State IN
ZIP 46140
Phone 317 462-1992
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director THOMAS M. JONES

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This page was last updated on: 3/20/2025