15D2068272 CLIA NUMBER - INDY EAST DIALYSIS

Laboratory Demographics

  • CLIA Code: 15D2068272
  • Facility Name: INDY EAST DIALYSIS
  • Facility Address: 1208 N ARLINGTON AVE
    INDIANAPOLIS, IN
    ZIP 46219
  • Facility Phone: 317 353-6315
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: KUMAR GAURAV
  • NPI Number: 1912333758
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2068272
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name INDY EAST DIALYSIS
Street 1208 N ARLINGTON AVE
City INDIANAPOLIS
State IN
ZIP 46219
Phone 317 353-6315
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director KUMAR GAURAV

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