15D2038155 CLIA NUMBER - COMMUNITY IMAGING CENTER EAST

Laboratory Demographics

  • CLIA Code: 15D2038155
  • Facility Name: COMMUNITY IMAGING CENTER EAST
  • Facility Address: 7910 E WASHINGTON ST
    INDIANAPOLIS, IN
    ZIP 46219
  • Facility Phone: 317 355-1345
  • Facility Type: Other - AMBULATORY IMAGING CTR
  • Facility Type: Waiver
  • Lab Director: JASON VANHORN
  • NPI Number: 1962754101
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2038155
LAB Type Other - AMBULATORY IMAGING CTR
Facility Name COMMUNITY IMAGING CENTER EAST
Street 7910 E WASHINGTON ST
City INDIANAPOLIS
State IN
ZIP 46219
Phone 317 355-1345
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Other - AMBULATORY IMAGING CTR
Lab Director JASON VANHORN

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