15D2268760 CLIA NUMBER - DIAGNOSTIC MEDICINE PC

Laboratory Demographics

  • CLIA Code: 15D2268760
  • Facility Name: DIAGNOSTIC MEDICINE PC
  • Facility Address: 113 N MICHIGAN ST
    PLYMOUTH, IN
    ZIP 46563
  • Facility Phone: 574 936-2643
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LONDA L. ALDRIDGE
  • NPI Number: 1255439022
  • Taxonomy: 207RC0200X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2268760
LAB Type Physician Office
Facility Name DIAGNOSTIC MEDICINE PC
Street 113 N MICHIGAN ST
City PLYMOUTH
State IN
ZIP 46563
Phone 574 936-2643
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Physician Office
Lab Director LONDA L. ALDRIDGE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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