15D0684048 CLIA NUMBER - MARION COUNTY PUBLIC HEALTH STAT LABORATORIES

Laboratory Demographics

  • CLIA Code: 15D0684048
  • Facility Name: MARION COUNTY PUBLIC HEALTH STAT LABORATORIES
  • Facility Address: 640 ESKENAZI AVE, FIFTH THIRD BANK BUILDING, 543 STE F1
    INDIANAPOLIS, IN
    ZIP 46202
  • Facility Phone: (317) 880-5210
  • Facility Type: Public Health Laboratories
  • Facility Type: Certificate of Compliance
  • Lab Director: BONNY LEWIS VAN
  • NPI Number: 1881875524
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 15D0684048
LAB Type Public Health Laboratories
Facility Name MARION COUNTY PUBLIC HEALTH STAT LABORATORIES
Street 640 ESKENAZI AVE, FIFTH THIRD BANK BUILDING, 543 STE F1
City INDIANAPOLIS
State IN
ZIP 46202
Phone 3178805210
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 2/28/2026
Certificate Expiration Date 2/28/2028
Facility Type Public Health Laboratories
Lab Director BONNY LEWIS VAN

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This page was last updated on: 5/18/2026