15D0897053 CLIA NUMBER - ESKENAZI HEALTH CENTER - N ARLINGTON

Laboratory Demographics

CLIA Number: 15D0897053

Facility Name: ESKENAZI HEALTH CENTER - N ARLINGTON

Facility Address:
2505 N ARLINGTON AVENUE
INDIANAPOLIS, IN
ZIP 46218
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Facility Phone Number: 317 554-5200

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1467791814

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	15D0897053
LAB Type	Federally Qualified Health Center
Facility Name	ESKENAZI HEALTH CENTER - N ARLINGTON
Street	2505 N ARLINGTON AVENUE
City	INDIANAPOLIS
State	IN
ZIP	46218
Phone	317 554-5200
CertificateType	3
CertificateEffectiveDate	6/5/2022
CertificateExpirationDate	6/4/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024