15D0899011 CLIA NUMBER - CENTRAL INDIANA SURGERY CENTER

Laboratory Demographics

CLIA Number: 15D0899011

Facility Name: CENTRAL INDIANA SURGERY CENTER

Facility Address:
9002 N MERIDIAN ST LL
INDIANAPOLIS, IN
ZIP 46260
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Facility Phone Number: 317 848-1763

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1174615702

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	15D0899011
LAB Type	Ambulatory Surgery Center
Facility Name	CENTRAL INDIANA SURGERY CENTER
Street	9002 N MERIDIAN ST LL
City	INDIANAPOLIS
State	IN
ZIP	46260
Phone	317 848-1763
CertificateType	4
CertificateEffectiveDate	3/17/2023
CertificateExpirationDate	3/16/2025
FacilityType	Waiver

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