15D1048423 CLIA NUMBER - JENNIFER RICHARDSON MD

Laboratory Demographics

  • CLIA Code: 15D1048423
  • Facility Name: JENNIFER RICHARDSON MD
  • Facility Address: 3404 NEWTON ST
    JASPER, IN
    ZIP 47546
  • Facility Phone: 812 634-6646
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JENNIFER RICHARDSON
  • NPI Number: 1346790276
  • Taxonomy: 225X00000X - Occupational Therapist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D1048423
LAB Type Physician Office
Facility Name JENNIFER RICHARDSON MD
Street 3404 NEWTON ST
City JASPER
State IN
ZIP 47546
Phone 812 634-6646
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 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Physician Office
Lab Director JENNIFER RICHARDSON

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