15D0996179 CLIA NUMBER - AVON PEDIATRICS PC

Laboratory Demographics

  • CLIA Code: 15D0996179
  • Facility Name: AVON PEDIATRICS PC
  • Facility Address: 7376 BUSINESS CENTER DRI STE A
    AVON, IN
    ZIP 46123
  • Facility Phone: 317 272-7887
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KERRY L. HENSLEY
  • NPI Number: 1275747313
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 15D0996179
LAB Type Physician Office
Facility Name AVON PEDIATRICS PC
Street 7376 BUSINESS CENTER DRI STE A
City AVON
State IN
ZIP 46123
Phone 317 272-7887
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Physician Office
Lab Director DR. KERRY L. HENSLEY

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