15D2045741 CLIA NUMBER - MIDWEST SPECIALTY SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 15D2045741
  • Facility Name: MIDWEST SPECIALTY SURGERY CENTER, LLC
  • Facility Address: 6920 GATWICK DR, STE 100
    INDIANAPOLIS, IN
    ZIP 46241
  • Facility Phone: 317 821-0000
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: STEPHEN HICKS
  • NPI Number: 1023373834
  • Taxonomy: 207X00000X - Orthopaedic Surgery

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2045741
LAB Type Ambulatory Surgery Center
Facility Name MIDWEST SPECIALTY SURGERY CENTER, LLC
Street 6920 GATWICK DR, STE 100
City INDIANAPOLIS
State IN
ZIP 46241
Phone 317 821-0000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Ambulatory Surgery Center
Lab Director STEPHEN HICKS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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