15D2010699 CLIA NUMBER - HENDRICKS NEPHROLOGY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 15D2010699
  • Facility Name: HENDRICKS NEPHROLOGY ASSOCIATES
  • Facility Address: 112 HOSPITAL LANE, SUITE 302
    DANVILLE, IN
    ZIP 46122
  • Facility Phone: 317 718-2460
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JARED A. FIALKOW
  • NPI Number: 1801109269
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2010699
LAB Type Physician Office
Facility Name HENDRICKS NEPHROLOGY ASSOCIATES
Street 112 HOSPITAL LANE, SUITE 302
City DANVILLE
State IN
ZIP 46122
Phone 317 718-2460
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 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type Physician Office
Lab Director JARED A. FIALKOW

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