15D2277680 CLIA NUMBER - CENTERSTONE HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 15D2277680
  • Facility Name: CENTERSTONE HEALTH SERVICES
  • Facility Address: 831 DILLON DRIVE
    RICHMOND, IN
    ZIP 47374
  • Facility Phone: 765 377-1205
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: HEATHER M. BLUE
  • NPI Number: 1114553948
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2277680
LAB Type Federally Qualified Health Center
Facility Name CENTERSTONE HEALTH SERVICES
Street 831 DILLON DRIVE
City RICHMOND
State IN
ZIP 47374
Phone 765 377-1205
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Federally Qualified Health Center
Lab Director HEATHER M. BLUE

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