15D0899011 CLIA NUMBER - CENTRAL INDIANA SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 15D0899011
  • Facility Name: CENTRAL INDIANA SURGERY CENTER
  • Facility Address: 9002 N MERIDIAN ST LL
    INDIANAPOLIS, IN
    ZIP 46260
  • Facility Phone: 317 848-1763
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: VICKIE MCCULLOUGH
  • NPI Number: 1174615702
  • Taxonomy: 261QA1903X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Ambulatory Surgery Center
Lab Director VICKIE MCCULLOUGH

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