15D2114069 CLIA NUMBER - HANCOCK DERMATOLOGY

Laboratory Demographics

CLIA Number: 15D2114069

Facility Name: HANCOCK DERMATOLOGY

Facility Address:
400 W GREEN MEADOWS DR STE 110
GREENFIELD, IN
ZIP 46140
Get Directions

Facility Phone Number: 317 967-7921

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1447619747

Taxonomy: 261QM2500X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

CLIA Record

Field Name	Field Value
CLIA Number	15D2114069
LAB Type	Physician Office
Facility Name	HANCOCK DERMATOLOGY
Street	400 W GREEN MEADOWS DR STE 110
City	GREENFIELD
State	IN
ZIP	46140
Phone	317 967-7921
CertificateType	3
CertificateEffectiveDate	6/7/2022
CertificateExpirationDate	6/6/2024
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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