15D2159892 CLIA NUMBER - WITHAM HEALTH SERVICES OF FRANKFORT

Laboratory Demographics

  • CLIA Code: 15D2159892
  • Facility Name: WITHAM HEALTH SERVICES OF FRANKFORT
  • Facility Address: 2485 E WABASH ST SUITE 110
    FRANKFORT, IN
    ZIP 46041
  • Facility Phone: 765 659-7400
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: TAMERA L. VANDEGRIFF
  • NPI Number: 1588071914
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2159892
LAB Type Physician Office
Facility Name WITHAM HEALTH SERVICES OF FRANKFORT
Street 2485 E WABASH ST SUITE 110
City FRANKFORT
State IN
ZIP 46041
Phone 765 659-7400
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 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Physician Office
Lab Director TAMERA L. VANDEGRIFF

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