15D0940227 CLIA NUMBER - HENDRICKS PEDIATRICS

Laboratory Demographics

  • CLIA Code: 15D0940227
  • Facility Name: HENDRICKS PEDIATRICS
  • Facility Address: 8244 E US 36 STE 210
    AVON, IN
    ZIP 46123
  • Facility Phone: 317 272-7337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN M. EMMICK
  • NPI Number: 1972604320
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 15D0940227
LAB Type Physician Office
Facility Name HENDRICKS PEDIATRICS
Street 8244 E US 36 STE 210
City AVON
State IN
ZIP 46123
Phone 317 272-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2024
Certificate Expiration Date 2/12/2026
Facility Type Physician Office
Lab Director SUSAN M. EMMICK

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