15D1046650 CLIA NUMBER - SURGERY CENTER OF CARMEL THE

Laboratory Demographics

CLIA Number: 15D1046650

Facility Name: SURGERY CENTER OF CARMEL THE

Facility Address:
12188 N MERIDIAN ST STE 150
CARMEL, IN
ZIP 46032
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Facility Phone Number: 615 377-5353

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1265495824

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	15D1046650
LAB Type	Ambulatory Surgery Center
Facility Name	SURGERY CENTER OF CARMEL THE
Street	12188 N MERIDIAN ST STE 150
City	CARMEL
State	IN
ZIP	46032
Phone	615 377-5353
CertificateType	4
CertificateEffectiveDate	10/14/2023
CertificateExpirationDate	10/13/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024