15D2317395 CLIA NUMBER - BRADLEY BIBB MD PLLC

Laboratory Demographics

  • CLIA Code: 15D2317395
  • Facility Name: BRADLEY BIBB MD PLLC
  • Facility Address: 2460 E WABASH ST, AMC
    FRANKFORT, IN
    ZIP 46041
  • Facility Phone: 260 200-4950
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK HAHN
  • NPI Number: 1699582627
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2317395
LAB Type Physician Office
Facility Name BRADLEY BIBB MD PLLC
Street 2460 E WABASH ST, AMC
City FRANKFORT
State IN
ZIP 46041
Phone 260 200-4950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Physician Office
Lab Director MARK HAHN

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