15D1037727 CLIA NUMBER - KATHLEEN STIENSTRA MD

Laboratory Demographics

  • CLIA Code: 15D1037727
  • Facility Name: KATHLEEN STIENSTRA MD
  • Facility Address: 70 W HONEY CREEK PARKWAY
    TERRE HAUTE, IN
    ZIP 47802
  • Facility Phone: 812 235-4867
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KATHLEEN L. STIENSTRA
  • NPI Number: 1760473334
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D1037727
LAB Type Physician Office
Facility Name KATHLEEN STIENSTRA MD
Street 70 W HONEY CREEK PARKWAY
City TERRE HAUTE
State IN
ZIP 47802
Phone 812 235-4867
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 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Physician Office
Lab Director KATHLEEN L. STIENSTRA

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