15D2290565 CLIA NUMBER - ACADEMY PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 15D2290565
  • Facility Name: ACADEMY PRIMARY CARE
  • Facility Address: 107 N ST RD 135 STE 103
    GREENWOOD, IN
    ZIP 46142
  • Facility Phone: 317 550-4510
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SHELLEY R. STINER
  • NPI Number: 1730895517
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2290565
LAB Type Physician Office
Facility Name ACADEMY PRIMARY CARE
Street 107 N ST RD 135 STE 103
City GREENWOOD
State IN
ZIP 46142
Phone 317 550-4510
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 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Physician Office
Lab Director SHELLEY R. STINER

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