15D0352868 CLIA NUMBER - INDIANA EYE CLINIC LLC

Laboratory Demographics

  • CLIA Code: 15D0352868
  • Facility Name: INDIANA EYE CLINIC LLC
  • Facility Address: 30 N EMERSON AVE
    GREENWOOD, IN
    ZIP 46143
  • Facility Phone: 317 881-3937
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. NICHOLAS R. RADER
  • NPI Number: 1013905827
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 15D0352868
LAB Type Physician Office
Facility Name INDIANA EYE CLINIC LLC
Street 30 N EMERSON AVE
City GREENWOOD
State IN
ZIP 46143
Phone 317 881-3937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Physician Office
Lab Director DR. NICHOLAS R. RADER

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