15D0687464 CLIA NUMBER - GREENWOOD DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 15D0687464
  • Facility Name: GREENWOOD DERMATOLOGY
  • Facility Address: 92 S PARK BLVD
    GREENWOOD, IN
    ZIP 46143
  • Facility Phone: 317 889-7546
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: THOMAS J. EADS
  • NPI Number: 1467644344
  • Taxonomy: 207ND0900X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D0687464
LAB Type Physician Office
Facility Name GREENWOOD DERMATOLOGY
Street 92 S PARK BLVD
City GREENWOOD
State IN
ZIP 46143
Phone 317 889-7546
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 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Physician Office
Lab Director THOMAS J. EADS

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