15D2172893 CLIA NUMBER - RICHLAND FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 15D2172893
  • Facility Name: RICHLAND FAMILY PRACTICE
  • Facility Address: 4088 N STATE RD 161
    RICHLAND, IN
    ZIP 47634
  • Facility Phone: 812 359-4512
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: ROBIN M. STRAHL
  • NPI Number: 1396396842
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2172893
LAB Type Rural Health Clinic
Facility Name RICHLAND FAMILY PRACTICE
Street 4088 N STATE RD 161
City RICHLAND
State IN
ZIP 47634
Phone 812 359-4512
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2023
Certificate Expiration Date 9/30/2025
Facility Type Rural Health Clinic
Lab Director ROBIN M. STRAHL

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