15D2268786 CLIA NUMBER - LAFAYETTE FAMILY WELLNESS

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Field Name	Field Value
CLIA Number	15D2268786
LAB Type	Physician Office
Facility Name	LAFAYETTE FAMILY WELLNESS
Street	4050 BRITT FARM DR SUITE C
City	LAFAYETTE
State	IN
ZIP	47905
Phone	765 297-0696
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	RYAN FAY

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