15D1106485 CLIA NUMBER - MY ORTHO TEAM COM

Laboratory Demographics

  • CLIA Code: 15D1106485
  • Facility Name: MY ORTHO TEAM COM
  • Facility Address: 8141 S EMERSON AVENUE, SUITE A
    INDIANAPOLIS, IN
    ZIP 46237
  • Facility Phone: 317 888-1051
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GREG T. HARDIN
  • NPI Number: 1235150210
  • Taxonomy: 207XX0005X - Orthopaedic Surgery

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D1106485
LAB Type Physician Office
Facility Name MY ORTHO TEAM COM
Street 8141 S EMERSON AVENUE, SUITE A
City INDIANAPOLIS
State IN
ZIP 46237
Phone 317 888-1051
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2023
Certificate Expiration Date 10/14/2025
Facility Type Physician Office
Lab Director GREG T. HARDIN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025