15D1010888 CLIA NUMBER - DAVID JANICKI

Laboratory Demographics

  • CLIA Code: 15D1010888
  • Facility Name: DAVID JANICKI
  • Facility Address: 2723 S 7TH ST
    TERRE HAUTE, IN
    ZIP 47802
  • Facility Phone: 812 238-5665
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID J. JANICKI
  • NPI Number: 1336113638
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D1010888
LAB Type Physician Office
Facility Name DAVID JANICKI
Street 2723 S 7TH ST
City TERRE HAUTE
State IN
ZIP 47802
Phone 812 238-5665
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2025
Certificate Expiration Date 10/2/2027
Facility Type Physician Office
Lab Director DAVID J. JANICKI

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