15D1042061 CLIA NUMBER - DANVILLE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 15D1042061
  • Facility Name: DANVILLE PEDIATRICS
  • Facility Address: 100 HOSPITAL LN STE 200
    DANVILLE, IN
    ZIP 46122
  • Facility Phone: 317 745-7337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MELISSA ESSIG
  • NPI Number: 1831296144
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 15D1042061
LAB Type Physician Office
Facility Name DANVILLE PEDIATRICS
Street 100 HOSPITAL LN STE 200
City DANVILLE
State IN
ZIP 46122
Phone 317 745-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2025
Certificate Expiration Date 6/16/2027
Facility Type Physician Office
Lab Director MELISSA ESSIG

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