15D1096492 CLIA NUMBER - IN HOUSE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 15D1096492
  • Facility Name: IN HOUSE PRIMARY CARE
  • Facility Address: 5189 WEST 600 NORTH
    MCCORDSVILLE, IN
    ZIP 46055
  • Facility Phone: 317 753-2678
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LAURA SNIDER
  • NPI Number: 1366649675
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 15D1096492
LAB Type Practitioner Other
Facility Name IN HOUSE PRIMARY CARE
Street 5189 WEST 600 NORTH
City MCCORDSVILLE
State IN
ZIP 46055
Phone 317 753-2678
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Practitioner Other
Lab Director LAURA SNIDER

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