15D2121915 CLIA NUMBER - CARDINAL FAMILY MEDICINE

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Laboratory Demographics

CLIA Number: 15D2121915

Facility Name: CARDINAL FAMILY MEDICINE

Facility Address:
225 HAUENSTEIN RD
HUNTINGTON, IN
ZIP 46750
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Facility Phone Number: 260 204-0505

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1518411925

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	15D2121915
LAB Type	Physician Office
Facility Name	CARDINAL FAMILY MEDICINE
Street	225 HAUENSTEIN RD
City	HUNTINGTON
State	IN
ZIP	46750
Phone	260 204-0505
CertificateType	4
CertificateEffectiveDate	11/16/2022
CertificateExpirationDate	11/15/2024
FacilityType	Waiver

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