15D1006790 CLIA NUMBER - CARMEL AMBULATORY SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 15D1006790
  • Facility Name: CARMEL AMBULATORY SURGERY CENTER LLC
  • Facility Address: 13421 OLD MERIDIAN ST STE 100
    CARMEL, IN
    ZIP 46032
  • Facility Phone: 317 706-1600
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: WELDON EGAN
  • NPI Number: 1497782833
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D1006790
LAB Type Ambulatory Surgery Center
Facility Name CARMEL AMBULATORY SURGERY CENTER LLC
Street 13421 OLD MERIDIAN ST STE 100
City CARMEL
State IN
ZIP 46032
Phone 317 706-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Ambulatory Surgery Center
Lab Director WELDON EGAN

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This page was last updated on: 3/20/2025