15D1059668 CLIA NUMBER - JOSEPHSON WALLACK MUNSHOWER NEUROLOGY PC ATTN KRISTINA CLEVELAND

Laboratory Demographics

  • CLIA Code: 15D1059668
  • Facility Name: JOSEPHSON WALLACK MUNSHOWER NEUROLOGY PC ATTN KRISTINA CLEVELAND
  • Facility Address: 7250 CLEARVISTA DR STE 225
    INDIANAPOLIS, IN
    ZIP 46256
  • Facility Phone: 317 537-6060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CRAIG E. HERRMAN
  • NPI Number: 1871680033
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 15D1059668
LAB Type Physician Office
Facility Name JOSEPHSON WALLACK MUNSHOWER NEUROLOGY PC ATTN KRISTINA CLEVELAND
Street 7250 CLEARVISTA DR STE 225
City INDIANAPOLIS
State IN
ZIP 46256
Phone 317 537-6060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Physician Office
Lab Director CRAIG E. HERRMAN

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