15D2279092 CLIA NUMBER - INTEGRATIVE DIRECT PRIMARY CARE, LLC

Laboratory Demographics

  • CLIA Code: 15D2279092
  • Facility Name: INTEGRATIVE DIRECT PRIMARY CARE, LLC
  • Facility Address: 55 BRENDON WAY, SUITE 300
    ZIONSVILLE, IN
    ZIP 46077
  • Facility Phone: 317 447-4532
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JACOB D. DEWITT

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2279092
LAB Type Physician Office
Facility Name INTEGRATIVE DIRECT PRIMARY CARE, LLC
Street 55 BRENDON WAY, SUITE 300
City ZIONSVILLE
State IN
ZIP 46077
Phone 317 447-4532
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Physician Office
Lab Director JACOB D. DEWITT

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: 3/20/2025