15D2012012 CLIA NUMBER - PARKVIEW PHYSICIANS GROUP-UROLOGY

Laboratory Demographics

  • CLIA Code: 15D2012012
  • Facility Name: PARKVIEW PHYSICIANS GROUP-UROLOGY
  • Facility Address: 2001 STULTS RD STE 200
    HUNTINGTON, IN
    ZIP 46750
  • Facility Phone: 260 482-8681
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT L. PALMER
  • NPI Number: 1144555020
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 15D2012012
LAB Type Physician Office
Facility Name PARKVIEW PHYSICIANS GROUP-UROLOGY
Street 2001 STULTS RD STE 200
City HUNTINGTON
State IN
ZIP 46750
Phone 260 482-8681
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type Physician Office
Lab Director SCOTT L. PALMER

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