15D1029987 CLIA NUMBER - COMMUNITY ENDOSCOPY CTR, LLC

Laboratory Demographics

  • CLIA Code: 15D1029987
  • Facility Name: COMMUNITY ENDOSCOPY CTR, LLC
  • Facility Address: 1601 MEDICAL ARTS BLVD #300
    ANDERSON, IN
    ZIP 46011
  • Facility Phone: 765 298-4700
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ROD A. NISI
  • NPI Number: 1548400070
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D1029987
LAB Type Ambulatory Surgery Center
Facility Name COMMUNITY ENDOSCOPY CTR, LLC
Street 1601 MEDICAL ARTS BLVD #300
City ANDERSON
State IN
ZIP 46011
Phone 765 298-4700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2024
Certificate Expiration Date 8/26/2026
Facility Type Ambulatory Surgery Center
Lab Director ROD A. NISI

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