15D0991219 CLIA NUMBER - DOWNTOWN PRIMARY CARE LLC

Laboratory Demographics

  • CLIA Code: 15D0991219
  • Facility Name: DOWNTOWN PRIMARY CARE LLC
  • Facility Address: 950 N ALABAMA ST
    INDIANAPOLIS, IN
    ZIP 46202
  • Facility Phone: 317 916-9946
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IDELLA SIMMONS
  • NPI Number: 1598531881
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0991219
LAB Type Physician Office
Facility Name DOWNTOWN PRIMARY CARE LLC
Street 950 N ALABAMA ST
City INDIANAPOLIS
State IN
ZIP 46202
Phone 317 916-9946
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Physician Office
Lab Director IDELLA SIMMONS

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