15D1086817 CLIA NUMBER - HENDRICKS END & DIABETIC SPECIALISTS

Laboratory Demographics

  • CLIA Code: 15D1086817
  • Facility Name: HENDRICKS END & DIABETIC SPECIALISTS
  • Facility Address: 100 HOSPITAL LN STE 205
    DANVILLE, IN
    ZIP 46122
  • Facility Phone: 317 745-7445
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PRIYA P. MEMON
  • NPI Number: 1649432444
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D1086817
LAB Type Physician Office
Facility Name HENDRICKS END & DIABETIC SPECIALISTS
Street 100 HOSPITAL LN STE 205
City DANVILLE
State IN
ZIP 46122
Phone 317 745-7445
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Physician Office
Lab Director PRIYA P. MEMON

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