15D1049558 CLIA NUMBER - DIAMOND MEDICAL SERVICES LLC

Laboratory Demographics

  • CLIA Code: 15D1049558
  • Facility Name: DIAMOND MEDICAL SERVICES LLC
  • Facility Address: 602 NORTH HIGH SCHOOL ROAD, SUITE B
    INDIANAPOLIS, IN
    ZIP 46214
  • Facility Phone: 317 291-1211
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IDAHOSA EROMONSELE
  • NPI Number: 1376735951
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D1049558
LAB Type Physician Office
Facility Name DIAMOND MEDICAL SERVICES LLC
Street 602 NORTH HIGH SCHOOL ROAD, SUITE B
City INDIANAPOLIS
State IN
ZIP 46214
Phone 317 291-1211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Physician Office
Lab Director IDAHOSA EROMONSELE

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