15D0960864 CLIA NUMBER - SHALOM HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 15D0960864
  • Facility Name: SHALOM HEALTH CARE CENTER
  • Facility Address: 9240 N MERIDIAN ST STE 180
    INDIANAPOLIS, IN
    ZIP 46260
  • Facility Phone: 317 291-7422
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: MARGARITA WIERSEMA
  • NPI Number: 1407845795
  • Taxonomy: 174400000X - Specialist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D0960864
LAB Type Federally Qualified Health Center
Facility Name SHALOM HEALTH CARE CENTER
Street 9240 N MERIDIAN ST STE 180
City INDIANAPOLIS
State IN
ZIP 46260
Phone 317 291-7422
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 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Federally Qualified Health Center
Lab Director MARGARITA WIERSEMA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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