15D2141576 CLIA NUMBER - LYNN PITTMAN, DO, INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 15D2141576
  • Facility Name: LYNN PITTMAN, DO, INTERNAL MEDICINE
  • Facility Address: 3955 EAGLE CREEK PARKWAY, SUITE C
    INDIANAPOLIS, IN
    ZIP 46254
  • Facility Phone: 317 203-7033
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LYNN A. PITTMAN
  • NPI Number: 1609840040
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2141576
LAB Type Physician Office
Facility Name LYNN PITTMAN, DO, INTERNAL MEDICINE
Street 3955 EAGLE CREEK PARKWAY, SUITE C
City INDIANAPOLIS
State IN
ZIP 46254
Phone 317 203-7033
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 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Physician Office
Lab Director LYNN A. PITTMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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