15D2297587 CLIA NUMBER - RAPHA MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 15D2297587
  • Facility Name: RAPHA MEDICAL CLINIC
  • Facility Address: 51 W WASHINGTON STREET
    FRANKFORT, IN
    ZIP 46041
  • Facility Phone: 765 430-8527
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MICHAEL S. MILLER
  • NPI Number: 1649961541
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 15D2297587
LAB Type Practitioner Other
Facility Name RAPHA MEDICAL CLINIC
Street 51 W WASHINGTON STREET
City FRANKFORT
State IN
ZIP 46041
Phone 765 430-8527
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Practitioner Other
Lab Director MICHAEL S. MILLER

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