15D0893813 CLIA NUMBER - WEST MAIN STREET MEDICAL CENTER PC

Laboratory Demographics

  • CLIA Code: 15D0893813
  • Facility Name: WEST MAIN STREET MEDICAL CENTER PC
  • Facility Address: 4760 W US 40
    RICHMOND, IN
    ZIP 47374
  • Facility Phone: (317) 855-5402
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WILLIAM D. RHEUBLE
  • NPI Number: 1437475464
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D0893813
LAB Type Physician Office
Facility Name WEST MAIN STREET MEDICAL CENTER PC
Street 4760 W US 40
City RICHMOND
State IN
ZIP 47374
Phone 3178555402
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 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Physician Office
Lab Director WILLIAM D. RHEUBLE

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