15D0354793 CLIA NUMBER - GUARDIAN PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 15D0354793
  • Facility Name: GUARDIAN PEDIATRICS LLC
  • Facility Address: 11590 N MERIDIAN ST STE 170
    CARMEL, IN
    ZIP 46032
  • Facility Phone: 317 848-3040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALICYN ROBB
  • NPI Number: 1497855365
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 15D0354793
LAB Type Physician Office
Facility Name GUARDIAN PEDIATRICS LLC
Street 11590 N MERIDIAN ST STE 170
City CARMEL
State IN
ZIP 46032
Phone 317 848-3040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2023
Certificate Expiration Date 9/30/2025
Facility Type Physician Office
Lab Director ALICYN ROBB

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