15D1028572 CLIA NUMBER - PICKERILL ADLER REED AND WILLIAMS FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 15D1028572
  • Facility Name: PICKERILL ADLER REED AND WILLIAMS FAMILY MEDICINE
  • Facility Address: 2525 SOUTH STREET
    LAFAYETTE, IN
    ZIP 47904
  • Facility Phone: 765 449-2732
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CASEY L. PICKERILL
  • NPI Number: 1902071434
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D1028572
LAB Type Physician Office
Facility Name PICKERILL ADLER REED AND WILLIAMS FAMILY MEDICINE
Street 2525 SOUTH STREET
City LAFAYETTE
State IN
ZIP 47904
Phone 765 449-2732
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Physician Office
Lab Director DR. CASEY L. PICKERILL

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This page was last updated on: 3/20/2025