15D1000991 CLIA NUMBER - CORNERSTONE FAMILY PHYSICIANS

Laboratory Demographics

  • CLIA Code: 15D1000991
  • Facility Name: CORNERSTONE FAMILY PHYSICIANS
  • Facility Address: 8902 N MERIDIAN ST, STE 230
    INDIANAPOLIS, IN
    ZIP 46260
  • Facility Phone: (317) 581-8888
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JACKIE L. EVANS
  • NPI Number: 1770565830
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D1000991
LAB Type Physician Office
Facility Name CORNERSTONE FAMILY PHYSICIANS
Street 8902 N MERIDIAN ST, STE 230
City INDIANAPOLIS
State IN
ZIP 46260
Phone 3175818888
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 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type Physician Office
Lab Director DR. JACKIE L. EVANS

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This page was last updated on: 5/18/2026