15D0726626 CLIA NUMBER - COMMUNITY PHYSICIANS OF INDIANA, INC FAM MED & PED CARE, WASHINGTON PAV

Laboratory Demographics

  • CLIA Code: 15D0726626
  • Facility Name: COMMUNITY PHYSICIANS OF INDIANA, INC FAM MED & PED CARE, WASHINGTON PAV
  • Facility Address: 7910 E WASHINGTON ST, STE 200
    INDIANAPOLIS, IN
    ZIP 46219
  • Facility Phone: (317) 355-7171
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NASEEM LABUE
  • NPI Number: 1053659078
  • Taxonomy: 207X00000X - Orthopaedic Surgery

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D0726626
LAB Type Physician Office
Facility Name COMMUNITY PHYSICIANS OF INDIANA, INC FAM MED & PED CARE, WASHINGTON PAV
Street 7910 E WASHINGTON ST, STE 200
City INDIANAPOLIS
State IN
ZIP 46219
Phone 3173557171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Physician Office
Lab Director NASEEM LABUE

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: 5/18/2026