15D0950415 CLIA NUMBER - ELI R HALLAL MD

Laboratory Demographics

  • CLIA Code: 15D0950415
  • Facility Name: ELI R HALLAL MD
  • Facility Address: 2 SILVERCREST DR, STE 100
    NEW ALBANY, IN
    ZIP 47150
  • Facility Phone: 812 948-1641
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELI R. HALLAL
  • NPI Number: 1083614416
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0950415
LAB Type Physician Office
Facility Name ELI R HALLAL MD
Street 2 SILVERCREST DR, STE 100
City NEW ALBANY
State IN
ZIP 47150
Phone 812 948-1641
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type Physician Office
Lab Director ELI R. HALLAL

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