15D0876228 CLIA NUMBER - MARION GENERAL HOSP DBA MGH LUNG CTR

Laboratory Demographics

  • CLIA Code: 15D0876228
  • Facility Name: MARION GENERAL HOSP DBA MGH LUNG CTR
  • Facility Address: 330 N WABASH, STE 450
    MARION, IN
    ZIP 46952
  • Facility Phone: 765 660-7690
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JITENDRA I. PATEL
  • NPI Number: 1922151877
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D0876228
LAB Type Physician Office
Facility Name MARION GENERAL HOSP DBA MGH LUNG CTR
Street 330 N WABASH, STE 450
City MARION
State IN
ZIP 46952
Phone 765 660-7690
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Physician Office
Lab Director JITENDRA I. PATEL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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