15D2016377 CLIA NUMBER - FISHERS URGENT CARE

Laboratory Demographics

  • CLIA Code: 15D2016377
  • Facility Name: FISHERS URGENT CARE
  • Facility Address: 11680 COMMERCIAL DR STE 100
    FISHERS, IN
    ZIP 46038
  • Facility Phone: 317 436-8712
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: ABDULRAZAK KEDO
  • NPI Number: 1669793568
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2016377
LAB Type Other - URGENT CARE
Facility Name FISHERS URGENT CARE
Street 11680 COMMERCIAL DR STE 100
City FISHERS
State IN
ZIP 46038
Phone 317 436-8712
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Other - URGENT CARE
Lab Director ABDULRAZAK KEDO

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