15D2143893 CLIA NUMBER - CAREATC CONCORD CLINIC

Laboratory Demographics

  • CLIA Code: 15D2143893
  • Facility Name: CAREATC CONCORD CLINIC
  • Facility Address: 59427 CO RD 13
    ELKHART, IN
    ZIP 46517
  • Facility Phone: 918 779-7471
  • Facility Type: Other - HEALTH CENTER
  • Facility Type: Waiver
  • Lab Director: MAUREEN ZIBOH
  • NPI Number: 1982255667
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2143893
LAB Type Other - HEALTH CENTER
Facility Name CAREATC CONCORD CLINIC
Street 59427 CO RD 13
City ELKHART
State IN
ZIP 46517
Phone 918 779-7471
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Other - HEALTH CENTER
Lab Director MAUREEN ZIBOH

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