15D2244384 CLIA NUMBER - PALLIATIVE SUPPORT CENTER

Laboratory Demographics

  • CLIA Code: 15D2244384
  • Facility Name: PALLIATIVE SUPPORT CENTER
  • Facility Address: 2400 E 17TH STREET - SUITE 180 MAIN GALLERY
    COLUMBUS, IN
    ZIP 47201
  • Facility Phone: 812 376-5610
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHANIE CAIN
  • NPI Number: 1487059416
  • Taxonomy: 207RH0002X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2244384
LAB Type Physician Office
Facility Name PALLIATIVE SUPPORT CENTER
Street 2400 E 17TH STREET - SUITE 180 MAIN GALLERY
City COLUMBUS
State IN
ZIP 47201
Phone 812 376-5610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Physician Office
Lab Director STEPHANIE CAIN

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