15D0991342 CLIA NUMBER - FAMILY PRACTICE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 15D0991342
  • Facility Name: FAMILY PRACTICE ASSOCIATES
  • Facility Address: 2229 MARY SHERMAN DRIVE
    SULLIVAN, IN
    ZIP 47882
  • Facility Phone: 812 268-4311
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAULA K. HERRINGTON
  • NPI Number: 1447805965
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D0991342
LAB Type Physician Office
Facility Name FAMILY PRACTICE ASSOCIATES
Street 2229 MARY SHERMAN DRIVE
City SULLIVAN
State IN
ZIP 47882
Phone 812 268-4311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type Physician Office
Lab Director PAULA K. HERRINGTON

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