15D2320678 CLIA NUMBER - FARTHING DERMATOLOGY PARTNERS

Laboratory Demographics

  • CLIA Code: 15D2320678
  • Facility Name: FARTHING DERMATOLOGY PARTNERS
  • Facility Address: 14540 PRAIRIE LAKES BLVD N SUITE 101
    NOBLESVILLE, IN
    ZIP 46060
  • Facility Phone: 317 764-2141
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BEN M. FARTHING
  • NPI Number: 1689484875
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2320678
LAB Type Physician Office
Facility Name FARTHING DERMATOLOGY PARTNERS
Street 14540 PRAIRIE LAKES BLVD N SUITE 101
City NOBLESVILLE
State IN
ZIP 46060
Phone 317 764-2141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Physician Office
Lab Director BEN M. FARTHING

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