15D1021371 CLIA NUMBER - NEW CASTLE CLINIC INC

Laboratory Demographics

  • CLIA Code: 15D1021371
  • Facility Name: NEW CASTLE CLINIC INC
  • Facility Address: 1000 N 16TH ST STE 250
    NEW CASTLE, IN
    ZIP 47362
  • Facility Phone: 765 521-1217
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: ROMEL C. ANTOLIN
  • NPI Number: 1639209018
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 15D1021371
LAB Type Rural Health Clinic
Facility Name NEW CASTLE CLINIC INC
Street 1000 N 16TH ST STE 250
City NEW CASTLE
State IN
ZIP 47362
Phone 765 521-1217
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/21/2024
Certificate Expiration Date 1/20/2026
Facility Type Rural Health Clinic
Lab Director ROMEL C. ANTOLIN

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