15D2297475 CLIA NUMBER - LIFEPLEX MEDICAL, INC

Laboratory Demographics

  • CLIA Code: 15D2297475
  • Facility Name: LIFEPLEX MEDICAL, INC
  • Facility Address: 2855 MILLER DR, SUITE 107
    PLYMOUTH, IN
    ZIP 46563
  • Facility Phone: 574 936-7777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LISA L. JONES
  • NPI Number: 1033302203
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2297475
LAB Type Physician Office
Facility Name LIFEPLEX MEDICAL, INC
Street 2855 MILLER DR, SUITE 107
City PLYMOUTH
State IN
ZIP 46563
Phone 574 936-7777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Physician Office
Lab Director LISA L. JONES

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This page was last updated on: 3/20/2025