15D2201310 CLIA NUMBER - HENDRICKS ENDOCRINOLOGY & DIABETIC SPECIALISTS

Laboratory Demographics

  • CLIA Code: 15D2201310
  • Facility Name: HENDRICKS ENDOCRINOLOGY & DIABETIC SPECIALISTS
  • Facility Address: 1411 S GREEN ST STE 110
    BROWNSBURG, IN
    ZIP 46112
  • Facility Phone: 317 456-9047
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PRIYA P. MENON
  • NPI Number: 1982143269
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2201310
LAB Type Physician Office
Facility Name HENDRICKS ENDOCRINOLOGY & DIABETIC SPECIALISTS
Street 1411 S GREEN ST STE 110
City BROWNSBURG
State IN
ZIP 46112
Phone 317 456-9047
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Physician Office
Lab Director PRIYA P. MENON

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