15D1017819 CLIA NUMBER - ACADEMY ALLERGY, ASTHMA & SINUS

Laboratory Demographics

  • CLIA Code: 15D1017819
  • Facility Name: ACADEMY ALLERGY, ASTHMA & SINUS
  • Facility Address: 14540 PRAIRIE LAKES BLVD N, STE 207
    NOBLESVILLE, IN
    ZIP 46060
  • Facility Phone: 317 621-2455
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID PATTERSON
  • NPI Number: 1780653535
  • Taxonomy: 207KA0200X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 15D1017819
LAB Type Physician Office
Facility Name ACADEMY ALLERGY, ASTHMA & SINUS
Street 14540 PRAIRIE LAKES BLVD N, STE 207
City NOBLESVILLE
State IN
ZIP 46060
Phone 317 621-2455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Physician Office
Lab Director DAVID PATTERSON

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