15D2310690 CLIA NUMBER - COVE DIRECT PRIMARY CARE, LLC

Laboratory Demographics

  • CLIA Code: 15D2310690
  • Facility Name: COVE DIRECT PRIMARY CARE, LLC
  • Facility Address: 1427 WASHINGTON ST STE B
    COLUMBUS, IN
    ZIP 47201
  • Facility Phone: 812 227-6024
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM PUMPHREY
  • NPI Number: 1215793591
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 15D2310690
LAB Type Physician Office
Facility Name COVE DIRECT PRIMARY CARE, LLC
Street 1427 WASHINGTON ST STE B
City COLUMBUS
State IN
ZIP 47201
Phone 812 227-6024
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Physician Office
Lab Director WILLIAM PUMPHREY

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