15D2182270 CLIA NUMBER - HOME4BIRTH LLC

Laboratory Demographics

  • CLIA Code: 15D2182270
  • Facility Name: HOME4BIRTH LLC
  • Facility Address: 12840 FORD DR SUITE 100
    FISHERS, IN
    ZIP 46038
  • Facility Phone: 765 643-9433
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: BRANDI GRAHAM-WOOD
  • NPI Number: 1205182961
  • Taxonomy: 176B00000X - Midwife

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CLIA Record

Field Name Field Value
CLIA Number 15D2182270
LAB Type Practitioner Other
Facility Name HOME4BIRTH LLC
Street 12840 FORD DR SUITE 100
City FISHERS
State IN
ZIP 46038
Phone 765 643-9433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2024
Certificate Expiration Date 4/18/2026
Facility Type Practitioner Other
Lab Director BRANDI GRAHAM-WOOD

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