15D0875392 CLIA NUMBER - IUHMG PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 15D0875392
  • Facility Name: IUHMG PRIMARY CARE
  • Facility Address: 11725 N ILLINOIS ST, STE 250
    CARMEL, IN
    ZIP 46032
  • Facility Phone: (317) 944-0513
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARK OBRIEN

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CLIA Record

Field Name Field Value
CLIA Number 15D0875392
LAB Type Physician Office
Facility Name IUHMG PRIMARY CARE
Street 11725 N ILLINOIS ST, STE 250
City CARMEL
State IN
ZIP 46032
Phone 3179440513
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 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Physician Office
Lab Director MARK OBRIEN

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This page was last updated on: 5/18/2026