15D0682555 CLIA NUMBER - MAPLETON MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 15D0682555
  • Facility Name: MAPLETON MEDICAL CENTER
  • Facility Address: 101 E 34TH ST
    INDIANAPOLIS, IN
    ZIP 46205
  • Facility Phone: 317 925-3625
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DEBRA A. CARTER MILLER
  • NPI Number: 1295718583
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0682555
LAB Type Physician Office
Facility Name MAPLETON MEDICAL CENTER
Street 101 E 34TH ST
City INDIANAPOLIS
State IN
ZIP 46205
Phone 317 925-3625
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Physician Office
Lab Director DEBRA A. CARTER MILLER

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