15D0931023 CLIA NUMBER - MHP OB/GYN

Laboratory Demographics

  • CLIA Code: 15D0931023
  • Facility Name: MHP OB/GYN
  • Facility Address: 2451 INTELLIPLEX DRIVE, SUITE 230
    SHELBYVILLE, IN
    ZIP 46176
  • Facility Phone: 317 398-0193
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY D. STILLER
  • NPI Number: 1457860173
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D0931023
LAB Type Physician Office
Facility Name MHP OB/GYN
Street 2451 INTELLIPLEX DRIVE, SUITE 230
City SHELBYVILLE
State IN
ZIP 46176
Phone 317 398-0193
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Physician Office
Lab Director JEFFREY D. STILLER

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