15D2027783 CLIA NUMBER - DC INTEGRATED MEDICINE CORP

Laboratory Demographics

  • CLIA Code: 15D2027783
  • Facility Name: DC INTEGRATED MEDICINE CORP
  • Facility Address: 135 W MAIN STREET
    GREENSBURG, IN
    ZIP 47240
  • Facility Phone: 812 222-0970
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREW CHANDLER
  • NPI Number: 1275825069
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2027783
LAB Type Physician Office
Facility Name DC INTEGRATED MEDICINE CORP
Street 135 W MAIN STREET
City GREENSBURG
State IN
ZIP 47240
Phone 812 222-0970
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2025
Certificate Expiration Date 8/1/2027
Facility Type Physician Office
Lab Director ANDREW CHANDLER

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