15D1066564 CLIA NUMBER - ST VINCENT HOME HEALTH - INDIANAPOLIS

Laboratory Demographics

  • CLIA Code: 15D1066564
  • Facility Name: ST VINCENT HOME HEALTH - INDIANAPOLIS
  • Facility Address: 8909 PURDUE ROAD, SUITE 107
    INDIANAPOLIS, IN
    ZIP 46268
  • Facility Phone: 317 829-2122
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: BEN NOFFSINGER
  • NPI Number: 1205875424
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 15D1066564
LAB Type Home Health Agency
Facility Name ST VINCENT HOME HEALTH - INDIANAPOLIS
Street 8909 PURDUE ROAD, SUITE 107
City INDIANAPOLIS
State IN
ZIP 46268
Phone 317 829-2122
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Home Health Agency
Lab Director BEN NOFFSINGER

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