15D2156226 CLIA NUMBER - FRANCISCAN PHYSICIAN NETWORK - NORTH GROVE FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 15D2156226
  • Facility Name: FRANCISCAN PHYSICIAN NETWORK - NORTH GROVE FAMILY MEDICINE
  • Facility Address: 362 MERIDIAN PARKE LANE, SUITE A
    GREENWOOD, IN
    ZIP 46142
  • Facility Phone: 317 528-8760
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY M. PETERSON
  • NPI Number: 1780010116
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2156226
LAB Type Physician Office
Facility Name FRANCISCAN PHYSICIAN NETWORK - NORTH GROVE FAMILY MEDICINE
Street 362 MERIDIAN PARKE LANE, SUITE A
City GREENWOOD
State IN
ZIP 46142
Phone 317 528-8760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Physician Office
Lab Director JEFFREY M. PETERSON

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