15D1080596 CLIA NUMBER - JOHNSON MEMORIAL HEALTH PHYSICIAN NETWORK, LLC

Laboratory Demographics

  • CLIA Code: 15D1080596
  • Facility Name: JOHNSON MEMORIAL HEALTH PHYSICIAN NETWORK, LLC
  • Facility Address: 1125 W JEFFERSON STREET, SUITE S200
    FRANKLIN, IN
    ZIP 46131
  • Facility Phone: 317 738-0630
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN P. NORRIS
  • NPI Number: 1033132477
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D1080596
LAB Type Physician Office
Facility Name JOHNSON MEMORIAL HEALTH PHYSICIAN NETWORK, LLC
Street 1125 W JEFFERSON STREET, SUITE S200
City FRANKLIN
State IN
ZIP 46131
Phone 317 738-0630
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 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Physician Office
Lab Director JOHN P. NORRIS

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