15D2138523 CLIA NUMBER - PROACTIVE MD - BROWN COUNTY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 15D2138523
  • Facility Name: PROACTIVE MD - BROWN COUNTY HEALTH CENTER
  • Facility Address: 246 EAST MAIN ST
    NASHVILLE, IN
    ZIP 47448
  • Facility Phone: 812 720-3297
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JENNIE R. LUENEBRINK
  • NPI Number: 1598270746
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2138523
LAB Type Practitioner Other
Facility Name PROACTIVE MD - BROWN COUNTY HEALTH CENTER
Street 246 EAST MAIN ST
City NASHVILLE
State IN
ZIP 47448
Phone 812 720-3297
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Practitioner Other
Lab Director JENNIE R. LUENEBRINK

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