15D1032004 CLIA NUMBER - SEYMOUR PEDIATRICS

Laboratory Demographics

  • CLIA Code: 15D1032004
  • Facility Name: SEYMOUR PEDIATRICS
  • Facility Address: 1171 W TIPTON ST STE D
    SEYMOUR, IN
    ZIP 47274
  • Facility Phone: 812 524-8780
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: COURTNEY B. KLEBER
  • NPI Number: 1538256003
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D1032004
LAB Type Physician Office
Facility Name SEYMOUR PEDIATRICS
Street 1171 W TIPTON ST STE D
City SEYMOUR
State IN
ZIP 47274
Phone 812 524-8780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Physician Office
Lab Director COURTNEY B. KLEBER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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