15D2040411 CLIA NUMBER - COLUMBUS SPECIALTY SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 15D2040411
  • Facility Name: COLUMBUS SPECIALTY SURGERY CENTER, LLC
  • Facility Address: 2425 N PARK DR, STE 20
    COLUMBUS, IN
    ZIP 47203
  • Facility Phone: 812 657-7800
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: NIKKI TURNER
  • NPI Number: 1932465887
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2040411
LAB Type Ambulatory Surgery Center
Facility Name COLUMBUS SPECIALTY SURGERY CENTER, LLC
Street 2425 N PARK DR, STE 20
City COLUMBUS
State IN
ZIP 47203
Phone 812 657-7800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Ambulatory Surgery Center
Lab Director NIKKI TURNER

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