15D1014542 CLIA NUMBER - AMERIPATH INDIANA/INDIANA SURGERY SOUTH FROZEN SECTION LABORATORY

Laboratory Demographics

  • CLIA Code: 15D1014542
  • Facility Name: AMERIPATH INDIANA/INDIANA SURGERY SOUTH FROZEN SECTION LABORATORY
  • Facility Address: 1550 E COUNTY LINE RD S 100
    INDIANAPOLIS, IN
    ZIP 46227
  • Facility Phone: 317 275-8005
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Accreditation
  • Lab Director: DR. RINA K. SIDDIQUI
  • NPI Number: 1316919079
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D1014542
LAB Type Ambulatory Surgery Center
Facility Name AMERIPATH INDIANA/INDIANA SURGERY SOUTH FROZEN SECTION LABORATORY
Street 1550 E COUNTY LINE RD S 100
City INDIANAPOLIS
State IN
ZIP 46227
Phone 317 275-8005
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 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. RINA K. SIDDIQUI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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