15D0988539 CLIA NUMBER - RICHARD L ROUDEBUSH VAMC

Laboratory Demographics

  • CLIA Code: 15D0988539
  • Facility Name: RICHARD L ROUDEBUSH VAMC
  • Facility Address: 1481 W 10TH ST A-WING 2ND FL RM A2083
    INDIANAPOLIS, IN
    ZIP 46202
  • Facility Phone: 317 554-0212
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: REBECCA MARKS
  • NPI Number: 1093712739
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0988539
LAB Type Hospital
Facility Name RICHARD L ROUDEBUSH VAMC
Street 1481 W 10TH ST A-WING 2ND FL RM A2083
City INDIANAPOLIS
State IN
ZIP 46202
Phone 317 554-0212
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/29/2001
Certificate Expiration Date 5/22/2026
Facility Type Hospital
Lab Director REBECCA MARKS

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