15D2069745 CLIA NUMBER - ALBANY FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 15D2069745
  • Facility Name: ALBANY FAMILY MEDICINE
  • Facility Address: 927 W WALNUT STREET
    ALBANY, IN
    ZIP 47320
  • Facility Phone: 765 789-4541
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN W. CARTER
  • NPI Number: 1811919012
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2069745
LAB Type Physician Office
Facility Name ALBANY FAMILY MEDICINE
Street 927 W WALNUT STREET
City ALBANY
State IN
ZIP 47320
Phone 765 789-4541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2023
Certificate Expiration Date 12/2/2025
Facility Type Physician Office
Lab Director JOHN W. CARTER

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