15D0877095 CLIA NUMBER - AVON INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 15D0877095
  • Facility Name: AVON INTERNAL MEDICINE
  • Facility Address: 8244 E US 36 BLDG II STE 1320
    AVON, IN
    ZIP 46123
  • Facility Phone: 317 272-7519
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LINDA S. SCHMID
  • NPI Number: 1306947189
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0877095
LAB Type Physician Office
Facility Name AVON INTERNAL MEDICINE
Street 8244 E US 36 BLDG II STE 1320
City AVON
State IN
ZIP 46123
Phone 317 272-7519
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type Physician Office
Lab Director LINDA S. SCHMID

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