15D0968115 CLIA NUMBER - HENDRICKS FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 15D0968115
  • Facility Name: HENDRICKS FAMILY MEDICINE
  • Facility Address: 1411 S GREEN ST STE 130
    BROWNSBURG, IN
    ZIP 46112
  • Facility Phone: 317 858-4610
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL J. BODE
  • NPI Number: 1861598708
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0968115
LAB Type Physician Office
Facility Name HENDRICKS FAMILY MEDICINE
Street 1411 S GREEN ST STE 130
City BROWNSBURG
State IN
ZIP 46112
Phone 317 858-4610
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/3/2023
Certificate Expiration Date 12/2/2025
Facility Type Physician Office
Lab Director MICHAEL J. BODE

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