15D2306048 CLIA NUMBER - PHOENIX PARAMEDIC SOLUTIONS

Laboratory Demographics

  • CLIA Code: 15D2306048
  • Facility Name: PHOENIX PARAMEDIC SOLUTIONS
  • Facility Address: 3554 PROMENADE PKWY STE B
    LAFAYETTE, IN
    ZIP 47909
  • Facility Phone: 765 448-4327
  • Facility Type: Other - ADDICTIONS CLINIC
  • Facility Type: Waiver
  • Lab Director: DR. EDWIN EPPLER
  • NPI Number: 1710492939
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 15D2306048
LAB Type Other - ADDICTIONS CLINIC
Facility Name PHOENIX PARAMEDIC SOLUTIONS
Street 3554 PROMENADE PKWY STE B
City LAFAYETTE
State IN
ZIP 47909
Phone 765 448-4327
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Other - ADDICTIONS CLINIC
Lab Director DR. EDWIN EPPLER

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