15D2012998 CLIA NUMBER - INDIANA OB/GYN PC

Laboratory Demographics

  • CLIA Code: 15D2012998
  • Facility Name: INDIANA OB/GYN PC
  • Facility Address: 7830 MADISON AVE, STE A
    INDIANAPOLIS, IN
    ZIP 46227
  • Facility Phone: 317 887-4400
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SWATI JAIN
  • NPI Number: 1689980765
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 15D2012998
LAB Type Physician Office
Facility Name INDIANA OB/GYN PC
Street 7830 MADISON AVE, STE A
City INDIANAPOLIS
State IN
ZIP 46227
Phone 317 887-4400
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Physician Office
Lab Director SWATI JAIN

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