15D2053107 CLIA NUMBER - WESTSIDE PHYSICIANS FOR WOMEN PLAINFIELD

Laboratory Demographics

  • CLIA Code: 15D2053107
  • Facility Name: WESTSIDE PHYSICIANS FOR WOMEN PLAINFIELD
  • Facility Address: 1100 SOUTHFIELD DRIVE, STE 1360
    PLAINFIELD, IN
    ZIP 46168
  • Facility Phone: 317 272-8033
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANDREA G. HUFFMAN
  • NPI Number: 1912008343
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 15D2053107
LAB Type Physician Office
Facility Name WESTSIDE PHYSICIANS FOR WOMEN PLAINFIELD
Street 1100 SOUTHFIELD DRIVE, STE 1360
City PLAINFIELD
State IN
ZIP 46168
Phone 317 272-8033
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 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Physician Office
Lab Director ANDREA G. HUFFMAN

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