15D1013598 CLIA NUMBER - DAMIEN CENTER INC

Laboratory Demographics

  • CLIA Code: 15D1013598
  • Facility Name: DAMIEN CENTER INC
  • Facility Address: 1420 E WASHINGTON ST
    INDIANAPOLIS, IN
    ZIP 46201
  • Facility Phone: 317 632-0123
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: ALAN WITCHEY
  • NPI Number: 1821172248
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D1013598
LAB Type Ancillary Testing Site in Health Care Center
Facility Name DAMIEN CENTER INC
Street 1420 E WASHINGTON ST
City INDIANAPOLIS
State IN
ZIP 46201
Phone 317 632-0123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director ALAN WITCHEY

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