15D0647261 CLIA NUMBER - CUTANEOUS & MAXILLOFACIAL PATHOLOGY LAB PC

Laboratory Demographics

  • CLIA Code: 15D0647261
  • Facility Name: CUTANEOUS & MAXILLOFACIAL PATHOLOGY LAB PC
  • Facility Address: 9292 N MERIDIAN ST STE 210
    INDIANAPOLIS, IN
    ZIP 46260
  • Facility Phone: 317 843-2204
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: MATTHEW B. STRAUSBURG
  • NPI Number: 1326509811
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D0647261
LAB Type Independent
Facility Name CUTANEOUS & MAXILLOFACIAL PATHOLOGY LAB PC
Street 9292 N MERIDIAN ST STE 210
City INDIANAPOLIS
State IN
ZIP 46260
Phone 317 843-2204
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Independent
Lab Director MATTHEW B. STRAUSBURG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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