15D2310263 CLIA NUMBER - HENDRICKS UROGYNECOLOGY

Laboratory Demographics

  • CLIA Code: 15D2310263
  • Facility Name: HENDRICKS UROGYNECOLOGY
  • Facility Address: 100 HOSPITAL LANE SUITE 145
    DANVILLE, IN
    ZIP 46122
  • Facility Phone: (317) 386-5632
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRYSTINE GULBRAND
  • NPI Number: 1588703946
  • Taxonomy: 2085R0202X - Radiology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2310263
LAB Type Physician Office
Facility Name HENDRICKS UROGYNECOLOGY
Street 100 HOSPITAL LANE SUITE 145
City DANVILLE
State IN
ZIP 46122
Phone 3173865632
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Physician Office
Lab Director KRYSTINE GULBRAND

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026