15D0361894 CLIA NUMBER - VERSITI INDIANA, INC

Laboratory Demographics

  • CLIA Code: 15D0361894
  • Facility Name: VERSITI INDIANA, INC
  • Facility Address: 3450 NORTH MERIDIAN STREET
    INDIANAPOLIS, IN
    ZIP 46208
  • Facility Phone: 317 916-5170
  • Facility Type: Blood Bank
  • Facility Type: Waiver
  • Lab Director: JULIE L. CRUZ
  • NPI Number: 1568699122
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 15D0361894
LAB Type Blood Bank
Facility Name VERSITI INDIANA, INC
Street 3450 NORTH MERIDIAN STREET
City INDIANAPOLIS
State IN
ZIP 46208
Phone 317 916-5170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type Blood Bank
Lab Director JULIE L. CRUZ

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