15D0993834 CLIA NUMBER - MERIDIAN MUNCIE WOMENS HEALTH CENTER

Laboratory Demographics

CLIA Number: 15D0993834

Facility Name: MERIDIAN MUNCIE WOMENS HEALTH CENTER

Facility Address:
100 N TILLOTSON AVE
MUNCIE, IN
ZIP 47304
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Facility Phone Number: 765 286-2000

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1326458928

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	15D0993834
LAB Type	Federally Qualified Health Center
Facility Name	MERIDIAN MUNCIE WOMENS HEALTH CENTER
Street	100 N TILLOTSON AVE
City	MUNCIE
State	IN
ZIP	47304
Phone	765 286-2000
CertificateType	3
CertificateEffectiveDate	11/27/2023
CertificateExpirationDate	11/26/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024