15D2289719 CLIA NUMBER - RAPHA HEALTHCARE

Laboratory Demographics

  • CLIA Code: 15D2289719
  • Facility Name: RAPHA HEALTHCARE
  • Facility Address: 541 A MAIN STREET
    ROCKPORT, IN
    ZIP 47635
  • Facility Phone: 812 618-1128
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ANGELA D. BUNNER
  • NPI Number: 1295419695
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2289719
LAB Type Practitioner Other
Facility Name RAPHA HEALTHCARE
Street 541 A MAIN STREET
City ROCKPORT
State IN
ZIP 47635
Phone 812 618-1128
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2025
Certificate Expiration Date 9/13/2027
Facility Type Practitioner Other
Lab Director ANGELA D. BUNNER

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