15D2129229 CLIA NUMBER - CASS EMPLOYER CLINIC DIVISION OF UNITY HEALTHCARE, LLC

Laboratory Demographics

  • CLIA Code: 15D2129229
  • Facility Name: CASS EMPLOYER CLINIC DIVISION OF UNITY HEALTHCARE, LLC
  • Facility Address: 502 HIGH ST
    LOGANSPORT, IN
    ZIP 46947
  • Facility Phone: 574 732-2552
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: CYNTHIA J. BRICKNELL
  • NPI Number: 1033765110
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2129229
LAB Type Practitioner Other
Facility Name CASS EMPLOYER CLINIC DIVISION OF UNITY HEALTHCARE, LLC
Street 502 HIGH ST
City LOGANSPORT
State IN
ZIP 46947
Phone 574 732-2552
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2023
Certificate Expiration Date 4/16/2025
Facility Type Practitioner Other
Lab Director CYNTHIA J. BRICKNELL

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This page was last updated on: 3/20/2025