15D1023321 CLIA NUMBER - KETAN K SHETH MD

Laboratory Demographics

  • CLIA Code: 15D1023321
  • Facility Name: KETAN K SHETH MD
  • Facility Address: 1345 UNITY PL STE 145A
    LAFAYETTE, IN
    ZIP 47905
  • Facility Phone: 765 446-5417
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KETAN K. SHETH
  • NPI Number: 1245209832
  • Taxonomy: 207K00000X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 15D1023321
LAB Type Physician Office
Facility Name KETAN K SHETH MD
Street 1345 UNITY PL STE 145A
City LAFAYETTE
State IN
ZIP 47905
Phone 765 446-5417
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Physician Office
Lab Director KETAN K. SHETH

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