15D0946424 CLIA NUMBER - SELLERSBURG PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 15D0946424
  • Facility Name: SELLERSBURG PEDIATRICS LLC
  • Facility Address: 1730 WILLIAMSBURG DRIVE SUITE 3
    JEFFERSONVILLE, IN
    ZIP 47130
  • Facility Phone: 812 246-0705
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: SANDRA HENSLEY
  • NPI Number: 1679784433
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 15D0946424
LAB Type Physician Office
Facility Name SELLERSBURG PEDIATRICS LLC
Street 1730 WILLIAMSBURG DRIVE SUITE 3
City JEFFERSONVILLE
State IN
ZIP 47130
Phone 812 246-0705
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/14/2024
Certificate Expiration Date 4/13/2026
Facility Type Physician Office
Lab Director SANDRA HENSLEY

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