15D0872616 CLIA NUMBER - DANIEL P KELLAR MD

Laboratory Demographics

  • CLIA Code: 15D0872616
  • Facility Name: DANIEL P KELLAR MD
  • Facility Address: 5500 S US HWY 41 STE #1
    TERRE HAUTE, IN
    ZIP 47802
  • Facility Phone: 812 238-7791
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DANIEL P. KELLAR
  • NPI Number: 1467443119
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0872616
LAB Type Physician Office
Facility Name DANIEL P KELLAR MD
Street 5500 S US HWY 41 STE #1
City TERRE HAUTE
State IN
ZIP 47802
Phone 812 238-7791
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 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Physician Office
Lab Director DANIEL P. KELLAR

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