15D2206118 CLIA NUMBER - MEDICINE PLUS

Laboratory Demographics

  • CLIA Code: 15D2206118
  • Facility Name: MEDICINE PLUS
  • Facility Address: 2412 W 16TH STREET
    BEDFORD, IN
    ZIP 47421
  • Facility Phone: 812 275-3383
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JADE SCHUCKMAN
  • NPI Number: 1598776007
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2206118
LAB Type Pharmacy
Facility Name MEDICINE PLUS
Street 2412 W 16TH STREET
City BEDFORD
State IN
ZIP 47421
Phone 812 275-3383
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Pharmacy
Lab Director JADE SCHUCKMAN

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