15D2276071 CLIA NUMBER - COMMUNITY PHYSICIANS OF INDIANA, INC/ FAMILY MEDICINE CARE ANDERSON (SUITE 203)

Laboratory Demographics

  • CLIA Code: 15D2276071
  • Facility Name: COMMUNITY PHYSICIANS OF INDIANA, INC/ FAMILY MEDICINE CARE ANDERSON (SUITE 203)
  • Facility Address: 1601 MEDICAL ARTS BLVD, SUITE 203
    ANDERSON, IN
    ZIP 46011
  • Facility Phone: 765 298-5700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSHUA W. DAWALT
  • NPI Number: 1003869645
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2276071
LAB Type Physician Office
Facility Name COMMUNITY PHYSICIANS OF INDIANA, INC/ FAMILY MEDICINE CARE ANDERSON (SUITE 203)
Street 1601 MEDICAL ARTS BLVD, SUITE 203
City ANDERSON
State IN
ZIP 46011
Phone 765 298-5700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Physician Office
Lab Director JOSHUA W. DAWALT

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This page was last updated on: 3/20/2025