15D1069959 CLIA NUMBER - ROBERT A CHUA MD

Laboratory Demographics

  • CLIA Code: 15D1069959
  • Facility Name: ROBERT A CHUA MD
  • Facility Address: 501 E HOSPITAL LN RM 103
    TERRE HAUTE, IN
    ZIP 47802
  • Facility Phone: 812 234-0293
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT A. CHUA
  • NPI Number: 1275731002
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D1069959
LAB Type Physician Office
Facility Name ROBERT A CHUA MD
Street 501 E HOSPITAL LN RM 103
City TERRE HAUTE
State IN
ZIP 47802
Phone 812 234-0293
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Physician Office
Lab Director ROBERT A. CHUA

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This page was last updated on: 6/4/2025