15D1031832 CLIA NUMBER - GLENN S WHEET MD PC

Laboratory Demographics

  • CLIA Code: 15D1031832
  • Facility Name: GLENN S WHEET MD PC
  • Facility Address: 900 LINCOLNWAY W 1ST FL
    MISHAWAKA, IN
    ZIP 46544
  • Facility Phone: (574) 259-6937
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GLENN S. WHEET
  • NPI Number: 1316065444
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D1031832
LAB Type Physician Office
Facility Name GLENN S WHEET MD PC
Street 900 LINCOLNWAY W 1ST FL
City MISHAWAKA
State IN
ZIP 46544
Phone 5742596937
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 10/12/2024
Certificate Expiration Date 10/11/2026
Facility Type Physician Office
Lab Director GLENN S. WHEET

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This page was last updated on: 5/18/2026