15D2081979 CLIA NUMBER - CARDINAL ELEMENTS, INC

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Laboratory Demographics

CLIA Number: 15D2081979

Facility Name: CARDINAL ELEMENTS, INC

Facility Address:
4108 W 400 S
NEW PALESTINE, IN
ZIP 46163
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Facility Phone Number: 317 410-9140

Facility Type: Other - CLIENTS HOME

Certificate Type: Waiver

NPI Number: 1659780708

Taxonomy: 364SC1501X - Clinical Nurse Specialist

CLIA Record

Field Name	Field Value
CLIA Number	15D2081979
LAB Type	Other - CLIENTS HOME
Facility Name	CARDINAL ELEMENTS, INC
Street	4108 W 400 S
City	NEW PALESTINE
State	IN
ZIP	46163
Phone	317 410-9140
CertificateType	4
CertificateEffectiveDate	8/5/2022
CertificateExpirationDate	8/4/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024