15D0900301 CLIA NUMBER - SUDHA P PATEL MD

Laboratory Demographics

  • CLIA Code: 15D0900301
  • Facility Name: SUDHA P PATEL MD
  • Facility Address: 6288 FRYE STREET SOUTH
    TERRE HAUTE, IN
    ZIP 47802
  • Facility Phone:
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUDHA P. PATEL MD
  • NPI Number: 1083610174
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0900301
LAB Type Physician Office
Facility Name SUDHA P PATEL MD
Street 6288 FRYE STREET SOUTH
City TERRE HAUTE
State IN
ZIP 47802
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Physician Office
Lab Director SUDHA P. PATEL MD

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