15D2056915 CLIA NUMBER - SOUTH HARRISON FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 15D2056915
  • Facility Name: SOUTH HARRISON FAMILY MEDICINE
  • Facility Address: 1263 HOSPITAL DR SUITE 200
    CORYDON, IN
    ZIP 47112
  • Facility Phone: (812) 734-3899
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRIAN ALBERTSON
  • NPI Number: 1700126976
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2056915
LAB Type Physician Office
Facility Name SOUTH HARRISON FAMILY MEDICINE
Street 1263 HOSPITAL DR SUITE 200
City CORYDON
State IN
ZIP 47112
Phone 8127343899
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 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Physician Office
Lab Director BRIAN ALBERTSON

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