15D0878260 CLIA NUMBER - JONATHAN ALLEY DO

Laboratory Demographics

  • CLIA Code: 15D0878260
  • Facility Name: JONATHAN ALLEY DO
  • Facility Address: 424 N WILLIAMS ST
    ANGOLA, IN
    ZIP 46703
  • Facility Phone: 260 665-5170
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JONATHAN E. ALLEY
  • NPI Number: 1083672919
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0878260
LAB Type Physician Office
Facility Name JONATHAN ALLEY DO
Street 424 N WILLIAMS ST
City ANGOLA
State IN
ZIP 46703
Phone 260 665-5170
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 10/21/2025
Certificate Expiration Date 10/20/2027
Facility Type Physician Office
Lab Director JONATHAN E. ALLEY

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