15D2327576 CLIA NUMBER - MADISON PEDIATRIC WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 15D2327576
  • Facility Name: MADISON PEDIATRIC WELLNESS CENTER
  • Facility Address: 311 E CLIFTY DR
    MADISON, IN
    ZIP 47250
  • Facility Phone: 812 551-2109
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW L. MCROBERTS
  • NPI Number: 1518751916
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 15D2327576
LAB Type Physician Office
Facility Name MADISON PEDIATRIC WELLNESS CENTER
Street 311 E CLIFTY DR
City MADISON
State IN
ZIP 47250
Phone 812 551-2109
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2025
Certificate Expiration Date 7/23/2027
Facility Type Physician Office
Lab Director MATTHEW L. MCROBERTS

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