15D1013603 CLIA NUMBER - ROBERT W ANDERSON MD

Laboratory Demographics

  • CLIA Code: 15D1013603
  • Facility Name: ROBERT W ANDERSON MD
  • Facility Address: 2101 JACKSON ST STE 111
    ANDERSON, IN
    ZIP 46016
  • Facility Phone: 765 646-8557
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT W. ANDERSON
  • NPI Number: 1790851509
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D1013603
LAB Type Physician Office
Facility Name ROBERT W ANDERSON MD
Street 2101 JACKSON ST STE 111
City ANDERSON
State IN
ZIP 46016
Phone 765 646-8557
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Physician Office
Lab Director ROBERT W. ANDERSON

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