15D2150745 CLIA NUMBER - MAIN STREET HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 15D2150745
  • Facility Name: MAIN STREET HOSPICE LLC
  • Facility Address: 10 HIGHLAND AVENUE
    FRANKLIN, IN
    ZIP 46131
  • Facility Phone: 317 736-0055
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KIMBERLY WEDDLE
  • NPI Number: 1295301216
  • Taxonomy: 207RH0002X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2150745
LAB Type Hospice
Facility Name MAIN STREET HOSPICE LLC
Street 10 HIGHLAND AVENUE
City FRANKLIN
State IN
ZIP 46131
Phone 317 736-0055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type Hospice
Lab Director KIMBERLY WEDDLE

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