15D2263397 CLIA NUMBER - FRANCISCAN SENIOR HEALTH AND WELLNESS LAFAYETTE

Laboratory Demographics

CLIA Code: 15D2263397
Facility Name: FRANCISCAN SENIOR HEALTH AND WELLNESS LAFAYETTE
Facility Address: 1116 N 16TH ST
LAFAYETTE, IN
ZIP 47904
Facility Phone: (765) 767-8847
Facility Type: Physician Office
Facility Type: Waiver
Lab Director: ALISIA MUNOZ
NPI Number: 1841985314
Taxonomy: 251T00000X - Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

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CLIA Record

Field Name	Field Value
CLIA Number	15D2263397
LAB Type	Physician Office
Facility Name	FRANCISCAN SENIOR HEALTH AND WELLNESS LAFAYETTE
Street	1116 N 16TH ST
City	LAFAYETTE
State	IN
ZIP	47904
Phone	7657678847
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	6/28/2024
Certificate Expiration Date	6/27/2026
Facility Type	Physician Office
Lab Director	ALISIA MUNOZ

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This page was last updated on: 5/18/2026