15D2090401 CLIA NUMBER - CAMBRIDGE CITY FAMILY HEALTH PARTNERS

Laboratory Demographics

  • CLIA Code: 15D2090401
  • Facility Name: CAMBRIDGE CITY FAMILY HEALTH PARTNERS
  • Facility Address: 415 EAST MAIN STREET
    CAMBRIDGE CITY, IN
    ZIP 47327
  • Facility Phone: 765 478-4541
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRUCE BENNINGER
  • NPI Number: 1568869873
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2090401
LAB Type Physician Office
Facility Name CAMBRIDGE CITY FAMILY HEALTH PARTNERS
Street 415 EAST MAIN STREET
City CAMBRIDGE CITY
State IN
ZIP 47327
Phone 765 478-4541
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 2/10/2024
Certificate Expiration Date 2/9/2026
Facility Type Physician Office
Lab Director BRUCE BENNINGER

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