15D2047856 CLIA NUMBER - UNITY HEALTHCARE, LLC / LAFAYETTE KIDNEY CARE

Laboratory Demographics

  • CLIA Code: 15D2047856
  • Facility Name: UNITY HEALTHCARE, LLC / LAFAYETTE KIDNEY CARE
  • Facility Address: 114 EXECUTIVE DR, STE A
    LAFAYETTE, IN
    ZIP 47905
  • Facility Phone: 765 446-5185
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PAUL Y. SHIN
  • NPI Number: 1194074153
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2047856
LAB Type Physician Office
Facility Name UNITY HEALTHCARE, LLC / LAFAYETTE KIDNEY CARE
Street 114 EXECUTIVE DR, STE A
City LAFAYETTE
State IN
ZIP 47905
Phone 765 446-5185
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Physician Office
Lab Director DR. PAUL Y. SHIN

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