15D2031497 CLIA NUMBER - HENDRICKS REGIONAL HEALTH BAINBRIDGE CLINIC

Laboratory Demographics

  • CLIA Code: 15D2031497
  • Facility Name: HENDRICKS REGIONAL HEALTH BAINBRIDGE CLINIC
  • Facility Address: 1152 E US HWY 36
    BAINBRIDGE, IN
    ZIP 46105
  • Facility Phone: 765 522-1889
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID M. STOPPERICH
  • NPI Number: 1306141163
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2031497
LAB Type Physician Office
Facility Name HENDRICKS REGIONAL HEALTH BAINBRIDGE CLINIC
Street 1152 E US HWY 36
City BAINBRIDGE
State IN
ZIP 46105
Phone 765 522-1889
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Physician Office
Lab Director DAVID M. STOPPERICH

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