15D0354315 CLIA NUMBER - SOUTHSIDE PEDIATRICS INC

Laboratory Demographics

  • CLIA Code: 15D0354315
  • Facility Name: SOUTHSIDE PEDIATRICS INC
  • Facility Address: 7830 MCFARLAND LN STE A
    INDIANAPOLIS, IN
    ZIP 46237
  • Facility Phone: 317 865-2700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT L. GLOYESKE
  • NPI Number: 1427038884
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 15D0354315
LAB Type Physician Office
Facility Name SOUTHSIDE PEDIATRICS INC
Street 7830 MCFARLAND LN STE A
City INDIANAPOLIS
State IN
ZIP 46237
Phone 317 865-2700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2024
Certificate Expiration Date 6/25/2026
Facility Type Physician Office
Lab Director ROBERT L. GLOYESKE

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