15D1026792 CLIA NUMBER - MOORESVILLE ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 15D1026792
  • Facility Name: MOORESVILLE ENDOSCOPY CENTER
  • Facility Address: 1215 HADLEY RD STE 101
    MOORESVILLE, IN
    ZIP 46158
  • Facility Phone: 317 834-5800
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. DIPEN MAUN
  • NPI Number: 1124086863
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D1026792
LAB Type Ambulatory Surgery Center
Facility Name MOORESVILLE ENDOSCOPY CENTER
Street 1215 HADLEY RD STE 101
City MOORESVILLE
State IN
ZIP 46158
Phone 317 834-5800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. DIPEN MAUN

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