15D0886720 CLIA NUMBER - PLAINFIELD CORRECTIONAL FACILITY

Laboratory Demographics

  • CLIA Code: 15D0886720
  • Facility Name: PLAINFIELD CORRECTIONAL FACILITY
  • Facility Address: 727 MOON RD
    PLAINFIELD, IN
    ZIP 46168
  • Facility Phone: 317 839-2513
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: ARNICIA BROWN
  • NPI Number: 1568907582
  • Taxonomy: 1223S0112X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 15D0886720
LAB Type Prison
Facility Name PLAINFIELD CORRECTIONAL FACILITY
Street 727 MOON RD
City PLAINFIELD
State IN
ZIP 46168
Phone 317 839-2513
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2024
Certificate Expiration Date 5/25/2026
Facility Type Prison
Lab Director ARNICIA BROWN

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