15D0689426 CLIA NUMBER - TRANSPLANT IMMUNOLOGY LABORATORY

Laboratory Demographics

  • CLIA Code: 15D0689426
  • Facility Name: TRANSPLANT IMMUNOLOGY LABORATORY
  • Facility Address: 635 BARNHILL DR MS 2006
    INDIANAPOLIS, IN
    ZIP 46202
  • Facility Phone: 317 274-2646
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Accreditation
  • Lab Director: DR. WILLIAM GOGGINS
  • NPI Number: 1548575129
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 15D0689426
LAB Type Ancillary Testing Site in Health Care Center
Facility Name TRANSPLANT IMMUNOLOGY LABORATORY
Street 635 BARNHILL DR MS 2006
City INDIANAPOLIS
State IN
ZIP 46202
Phone 317 274-2646
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. WILLIAM GOGGINS

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