15D2004247 CLIA NUMBER - BEACON MEDICAL GROUP PROJECT LEADERS

Laboratory Demographics

  • CLIA Code: 15D2004247
  • Facility Name: BEACON MEDICAL GROUP PROJECT LEADERS
  • Facility Address: 6913 N MAIN ST
    GRANGER, IN
    ZIP 46530
  • Facility Phone: 574 647-1507
  • Facility Type: Other - MED POINT LAB
  • Facility Type: Waiver
  • Lab Director: DR. DAVID AMRHEIN
  • NPI Number: 1629541784
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2004247
LAB Type Other - MED POINT LAB
Facility Name BEACON MEDICAL GROUP PROJECT LEADERS
Street 6913 N MAIN ST
City GRANGER
State IN
ZIP 46530
Phone 574 647-1507
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2024
Certificate Expiration Date 6/1/2026
Facility Type Other - MED POINT LAB
Lab Director DR. DAVID AMRHEIN

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