15D1052583 CLIA NUMBER - INDIANA KIDNEY INSTITUTE

Laboratory Demographics

  • CLIA Code: 15D1052583
  • Facility Name: INDIANA KIDNEY INSTITUTE
  • Facility Address: 5540 S EAST STREET, SUITE 100
    INDIANAPOLIS, IN
    ZIP 46227
  • Facility Phone: 317 634-0920
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PARISHURAMA S. REDDY
  • NPI Number: 1013943109
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D1052583
LAB Type Ambulatory Surgery Center
Facility Name INDIANA KIDNEY INSTITUTE
Street 5540 S EAST STREET, SUITE 100
City INDIANAPOLIS
State IN
ZIP 46227
Phone 317 634-0920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Ambulatory Surgery Center
Lab Director PARISHURAMA S. REDDY

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