15D2074097 CLIA NUMBER - UNITY HEALTHCARE, LLC/ FLORA FAM MED

Laboratory Demographics

  • CLIA Code: 15D2074097
  • Facility Name: UNITY HEALTHCARE, LLC/ FLORA FAM MED
  • Facility Address: 203 N DIVISION ST
    FLORA, IN
    ZIP 46929
  • Facility Phone: 574 967-4523
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JORDAN L. DUTTER
  • NPI Number: 1861988776
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2074097
LAB Type Physician Office
Facility Name UNITY HEALTHCARE, LLC/ FLORA FAM MED
Street 203 N DIVISION ST
City FLORA
State IN
ZIP 46929
Phone 574 967-4523
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Physician Office
Lab Director JORDAN L. DUTTER

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