15D1017929 CLIA NUMBER - UNIVERSITY PLACE

Laboratory Demographics

  • CLIA Code: 15D1017929
  • Facility Name: UNIVERSITY PLACE
  • Facility Address: 1750 LINDBERG RD
    WEST LAFAYETTE, IN
    ZIP 47906
  • Facility Phone: 765 464-5600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID KINDER
  • NPI Number: 1831196369
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D1017929
LAB Type Physician Office
Facility Name UNIVERSITY PLACE
Street 1750 LINDBERG RD
City WEST LAFAYETTE
State IN
ZIP 47906
Phone 765 464-5600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2025
Certificate Expiration Date 10/7/2027
Facility Type Physician Office
Lab Director DAVID KINDER

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