15D2118084 CLIA NUMBER - MIDWIVES CARE

Laboratory Demographics

  • CLIA Code: 15D2118084
  • Facility Name: MIDWIVES CARE
  • Facility Address: 2930 MCKINLEY
    SOUTH BEND, IN
    ZIP 46615
  • Facility Phone: 574 400-2558
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: KRISTIN L. VINCENT
  • NPI Number: 1932556552
  • Taxonomy: 367A00000X - Advanced Practice Midwife

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CLIA Record

Field Name Field Value
CLIA Number 15D2118084
LAB Type Practitioner Other
Facility Name MIDWIVES CARE
Street 2930 MCKINLEY
City SOUTH BEND
State IN
ZIP 46615
Phone 574 400-2558
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 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Practitioner Other
Lab Director KRISTIN L. VINCENT

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