15D2005552 CLIA NUMBER - CSL WHITE RIVER LLC

Laboratory Demographics

  • CLIA Code: 15D2005552
  • Facility Name: CSL WHITE RIVER LLC
  • Facility Address: 3177 MERIDIAN PARKE DR
    GREENWOOD, IN
    ZIP 46142
  • Facility Phone: 317 882-5455
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LYNN D. TUGGLE
  • NPI Number: 1528821279
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2005552
LAB Type Assisted Living Facility
Facility Name CSL WHITE RIVER LLC
Street 3177 MERIDIAN PARKE DR
City GREENWOOD
State IN
ZIP 46142
Phone 317 882-5455
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2024
Certificate Expiration Date 3/29/2026
Facility Type Assisted Living Facility
Lab Director LYNN D. TUGGLE

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