15D2279560 CLIA NUMBER - ELEVATE CARE CLINIC

Laboratory Demographics

  • CLIA Code: 15D2279560
  • Facility Name: ELEVATE CARE CLINIC
  • Facility Address: 503 W NATIONAL AVE
    BRAZIL, IN
    ZIP 47834
  • Facility Phone: 812 251-4873
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KAITLYN M. NEVILL
  • NPI Number: 1891497590
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2279560
LAB Type Practitioner Other
Facility Name ELEVATE CARE CLINIC
Street 503 W NATIONAL AVE
City BRAZIL
State IN
ZIP 47834
Phone 812 251-4873
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Practitioner Other
Lab Director KAITLYN M. NEVILL

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This page was last updated on: 6/4/2025