15D1043196 CLIA NUMBER - PERRY COUNTY FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 15D1043196
  • Facility Name: PERRY COUNTY FAMILY PRACTICE
  • Facility Address: 18485 STATE ROAD 37
    LEOPOLD, IN
    ZIP 47551
  • Facility Phone: 812 843-3038
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: JOSHUA POOS
  • NPI Number: 1215928536
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D1043196
LAB Type Rural Health Clinic
Facility Name PERRY COUNTY FAMILY PRACTICE
Street 18485 STATE ROAD 37
City LEOPOLD
State IN
ZIP 47551
Phone 812 843-3038
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Rural Health Clinic
Lab Director JOSHUA POOS

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