15D1049706 CLIA NUMBER - ANDERSON UNIVERSITY HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 15D1049706
  • Facility Name: ANDERSON UNIVERSITY HEALTH SERVICES
  • Facility Address: 307 COTTAGE AVE
    ANDERSON, IN
    ZIP 46012
  • Facility Phone: 765 641-4222
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: TAMMIE BRYANT
  • NPI Number: 1679012900
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D1049706
LAB Type School/Student Health Service
Facility Name ANDERSON UNIVERSITY HEALTH SERVICES
Street 307 COTTAGE AVE
City ANDERSON
State IN
ZIP 46012
Phone 765 641-4222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type School/Student Health Service
Lab Director TAMMIE BRYANT

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