15D2056461 CLIA NUMBER - EAGLE HIGHLANDS DIALYSIS

Laboratory Demographics

  • CLIA Code: 15D2056461
  • Facility Name: EAGLE HIGHLANDS DIALYSIS
  • Facility Address: 6925 SHORE TER
    INDIANAPOLIS, IN
    ZIP 46254
  • Facility Phone: 317 295-0423
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ANTOINETTE A. MENSAH
  • NPI Number: 1093055923
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2056461
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name EAGLE HIGHLANDS DIALYSIS
Street 6925 SHORE TER
City INDIANAPOLIS
State IN
ZIP 46254
Phone 317 295-0423
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ANTOINETTE A. MENSAH

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