15D1074927 CLIA NUMBER - INDY SOUTH DIALYSIS

Laboratory Demographics

  • CLIA Code: 15D1074927
  • Facility Name: INDY SOUTH DIALYSIS
  • Facility Address: 972 EMERSON PKWY
    GREENWOOD, IN
    ZIP 46143
  • Facility Phone: 317 881-0641
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MINDAUGAS ZEKONIS
  • NPI Number: 1013102110
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D1074927
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name INDY SOUTH DIALYSIS
Street 972 EMERSON PKWY
City GREENWOOD
State IN
ZIP 46143
Phone 317 881-0641
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2025
Certificate Expiration Date 10/9/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MINDAUGAS ZEKONIS

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