15D0947833 CLIA NUMBER - INGRID MASON MD ATTN LISA LOHREY

Laboratory Demographics

  • CLIA Code: 15D0947833
  • Facility Name: INGRID MASON MD ATTN LISA LOHREY
  • Facility Address: 1020 E 86TH ST STE 24 A
    INDIANAPOLIS, IN
    ZIP 46240
  • Facility Phone: 317 587-0815
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. INGRID MASON
  • NPI Number: 1457319915
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 15D0947833
LAB Type Physician Office
Facility Name INGRID MASON MD ATTN LISA LOHREY
Street 1020 E 86TH ST STE 24 A
City INDIANAPOLIS
State IN
ZIP 46240
Phone 317 587-0815
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director DR. INGRID MASON

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