15D1076310 CLIA NUMBER - FRANCISCAN PHYSICIAN NETWORK-GREENWOOD PARKE FAMIL MED

Laboratory Demographics

  • CLIA Code: 15D1076310
  • Facility Name: FRANCISCAN PHYSICIAN NETWORK-GREENWOOD PARKE FAMIL MED
  • Facility Address: 701 E COUNTY LINE ROAD SUITE 204
    GREENWOOD, IN
    ZIP 46143
  • Facility Phone: 317 882-0535
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN P. SNOOK
  • NPI Number: 1366879009
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D1076310
LAB Type Physician Office
Facility Name FRANCISCAN PHYSICIAN NETWORK-GREENWOOD PARKE FAMIL MED
Street 701 E COUNTY LINE ROAD SUITE 204
City GREENWOOD
State IN
ZIP 46143
Phone 317 882-0535
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 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Physician Office
Lab Director JOHN P. SNOOK

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