15D2037544 CLIA NUMBER - MARATHON HEALTH AT CULVER

Laboratory Demographics

  • CLIA Code: 15D2037544
  • Facility Name: MARATHON HEALTH AT CULVER
  • Facility Address: 121 NORTH TERRACE DRIVE
    CULVER, IN
    ZIP 46511
  • Facility Phone: (802) 857-0400
  • Facility Type: Other - ONSITE HEALTH CENTER
  • Facility Type: Microscopy
  • Lab Director: JODY JOSEPH
  • NPI Number: 1114684701
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2037544
LAB Type Other - ONSITE HEALTH CENTER
Facility Name MARATHON HEALTH AT CULVER
Street 121 NORTH TERRACE DRIVE
City CULVER
State IN
ZIP 46511
Phone 8028570400
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 3/1/2026
Certificate Expiration Date 2/29/2028
Facility Type Other - ONSITE HEALTH CENTER
Lab Director JODY JOSEPH

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This page was last updated on: 5/18/2026