15D1005440 CLIA NUMBER - JONATHAN E FRANCES DO

Laboratory Demographics

CLIA Number: 15D1005440

Facility Name: JONATHAN E FRANCES DO

Facility Address:
1401 MEMORIAL AVE STE B
WASHINGTON, IN
ZIP 47501
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Facility Phone Number: 812 254-7118

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1992892145

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	15D1005440
LAB Type	Physician Office
Facility Name	JONATHAN E FRANCES DO
Street	1401 MEMORIAL AVE STE B
City	WASHINGTON
State	IN
ZIP	47501
Phone	812 254-7118
CertificateType	4
CertificateEffectiveDate	10/22/2022
CertificateExpirationDate	10/21/2024
FacilityType	Waiver

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