15D0939313 CLIA NUMBER - MARION PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 15D0939313
  • Facility Name: MARION PEDIATRICS LLC
  • Facility Address: 1411 W BELLA DRIVE
    MARION, IN
    ZIP 46953
  • Facility Phone: 765 651-6637
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL D. WOLFE
  • NPI Number: 1497836340
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 15D0939313
LAB Type Physician Office
Facility Name MARION PEDIATRICS LLC
Street 1411 W BELLA DRIVE
City MARION
State IN
ZIP 46953
Phone 765 651-6637
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Physician Office
Lab Director PAUL D. WOLFE

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