15D2172012 CLIA NUMBER - MP HEALTH PC

Laboratory Demographics

  • CLIA Code: 15D2172012
  • Facility Name: MP HEALTH PC
  • Facility Address: 1178 FREMONT COURT SUITE 1B
    ELKHART, IN
    ZIP 46516
  • Facility Phone: 574 218-6512
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MARK A. SCHNEIDER
  • NPI Number: 1871202341
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2172012
LAB Type Practitioner Other
Facility Name MP HEALTH PC
Street 1178 FREMONT COURT SUITE 1B
City ELKHART
State IN
ZIP 46516
Phone 574 218-6512
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Practitioner Other
Lab Director MARK A. SCHNEIDER

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