15D0855856 CLIA NUMBER - WESTSIDE RETIREMENT VILLAGE

Laboratory Demographics

  • CLIA Code: 15D0855856
  • Facility Name: WESTSIDE RETIREMENT VILLAGE
  • Facility Address: 8616 WEST 10TH STREET
    INDIANAPOLIS, IN
    ZIP 46234
  • Facility Phone: 317 209-2800
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHARADY D. GREENE
  • NPI Number: 1033166871
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0855856
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WESTSIDE RETIREMENT VILLAGE
Street 8616 WEST 10TH STREET
City INDIANAPOLIS
State IN
ZIP 46234
Phone 317 209-2800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CHARADY D. GREENE

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