15D2010678 CLIA NUMBER - STEPHEN R RIBAUDO MD PC

Laboratory Demographics

  • CLIA Code: 15D2010678
  • Facility Name: STEPHEN R RIBAUDO MD PC
  • Facility Address: 229 RED COACH DR STE 102
    MISHAWAKA, IN
    ZIP 46545
  • Facility Phone: 574 252-5852
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN R. RIBAUDO
  • NPI Number: 1730281841
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2010678
LAB Type Physician Office
Facility Name STEPHEN R RIBAUDO MD PC
Street 229 RED COACH DR STE 102
City MISHAWAKA
State IN
ZIP 46545
Phone 574 252-5852
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type Physician Office
Lab Director STEPHEN R. RIBAUDO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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