15D2272133 CLIA NUMBER - REJUVENATE MUNCIE LLC

Laboratory Demographics

  • CLIA Code: 15D2272133
  • Facility Name: REJUVENATE MUNCIE LLC
  • Facility Address: 3413 N BRIARWOOD LANE
    MUNCIE, IN
    ZIP 47304
  • Facility Phone: 765 400-1800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOMINYSE N. CAREY
  • NPI Number: 1134923402
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2272133
LAB Type Physician Office
Facility Name REJUVENATE MUNCIE LLC
Street 3413 N BRIARWOOD LANE
City MUNCIE
State IN
ZIP 47304
Phone 765 400-1800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Physician Office
Lab Director DOMINYSE N. CAREY

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