15D1043331 CLIA NUMBER - DAVID C LIEB MD

Laboratory Demographics

  • CLIA Code: 15D1043331
  • Facility Name: DAVID C LIEB MD
  • Facility Address: 111 W MARKET ST
    COLUMBIA CITY, IN
    ZIP 46725
  • Facility Phone: 260 244-6066
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID C. LIEB
  • NPI Number: 1942294921
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D1043331
LAB Type Physician Office
Facility Name DAVID C LIEB MD
Street 111 W MARKET ST
City COLUMBIA CITY
State IN
ZIP 46725
Phone 260 244-6066
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Physician Office
Lab Director DAVID C. LIEB

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