15D1095134 CLIA NUMBER - INDIANA ENDOSCOPY CENTER AVON

Laboratory Demographics

  • CLIA Code: 15D1095134
  • Facility Name: INDIANA ENDOSCOPY CENTER AVON
  • Facility Address: 1115 N RONALD REAGAN PKWY STE 347
    AVON, IN
    ZIP 46123
  • Facility Phone: (317) 217-2111
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MEHUL PATEL
  • NPI Number: 1811172729
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D1095134
LAB Type Ambulatory Surgery Center
Facility Name INDIANA ENDOSCOPY CENTER AVON
Street 1115 N RONALD REAGAN PKWY STE 347
City AVON
State IN
ZIP 46123
Phone 3172172111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2025
Certificate Expiration Date 2/2/2027
Facility Type Ambulatory Surgery Center
Lab Director MEHUL PATEL

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This page was last updated on: 5/18/2026