15D0931227 CLIA NUMBER - MHP PEDIATRICS

Laboratory Demographics

  • CLIA Code: 15D0931227
  • Facility Name: MHP PEDIATRICS
  • Facility Address: 2451 INTELLIPLEX DRIVE, SUITE 240
    SHELBYVILLE, IN
    ZIP 46176
  • Facility Phone: 317 398-7337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAULA A. GUSTAFSON
  • NPI Number: 1558870279
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D0931227
LAB Type Physician Office
Facility Name MHP PEDIATRICS
Street 2451 INTELLIPLEX DRIVE, SUITE 240
City SHELBYVILLE
State IN
ZIP 46176
Phone 317 398-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2025
Certificate Expiration Date 7/23/2027
Facility Type Physician Office
Lab Director PAULA A. GUSTAFSON

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