15D2068499 CLIA NUMBER - INDIANA IMMEDIATE CARE

Laboratory Demographics

  • CLIA Code: 15D2068499
  • Facility Name: INDIANA IMMEDIATE CARE
  • Facility Address: 860 EAST 86TH STREET, STE 4
    INDIANAPOLIS, IN
    ZIP 46240
  • Facility Phone: 317 975-3441
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROLAND JAMES
  • NPI Number: 1174064323
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2068499
LAB Type Physician Office
Facility Name INDIANA IMMEDIATE CARE
Street 860 EAST 86TH STREET, STE 4
City INDIANAPOLIS
State IN
ZIP 46240
Phone 317 975-3441
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Physician Office
Lab Director ROLAND JAMES

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