15D2252175 CLIA NUMBER - TIMECERTAIN W, PC

Laboratory Demographics

  • CLIA Code: 15D2252175
  • Facility Name: TIMECERTAIN W, PC
  • Facility Address: 1055 S HUNT ST
    TERRE HAUTE, IN
    ZIP 47803
  • Facility Phone: 317 925-2200
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PAUL L. WALTON
  • NPI Number: 1346860947
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 15D2252175
LAB Type Ambulatory Surgery Center
Facility Name TIMECERTAIN W, PC
Street 1055 S HUNT ST
City TERRE HAUTE
State IN
ZIP 47803
Phone 317 925-2200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2024
Certificate Expiration Date 2/8/2026
Facility Type Ambulatory Surgery Center
Lab Director PAUL L. WALTON

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