15D2323270 CLIA NUMBER - PROLIFIC DIAGNOSTICS

Laboratory Demographics

  • CLIA Code: 15D2323270
  • Facility Name: PROLIFIC DIAGNOSTICS
  • Facility Address: 23 MOTIF BLVD SUITE 101
    BROWNSBURG, IN
    ZIP 46112
  • Facility Phone: 317 735-6677
  • Facility Type: Other - MOBILE PHLEBOTMY SERVICE
  • Facility Type: Waiver
  • Lab Director: CANDACE L. PERRY
  • NPI Number: 1376300608
  • Taxonomy: 202K00000X - Phlebology

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CLIA Record

Field Name Field Value
CLIA Number 15D2323270
LAB Type Other - MOBILE PHLEBOTMY SERVICE
Facility Name PROLIFIC DIAGNOSTICS
Street 23 MOTIF BLVD SUITE 101
City BROWNSBURG
State IN
ZIP 46112
Phone 317 735-6677
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Other - MOBILE PHLEBOTMY SERVICE
Lab Director CANDACE L. PERRY

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