15D2075377 CLIA NUMBER - MICHAEL S MILLER, DO, FIACOS, CWS, PC

Laboratory Demographics

  • CLIA Code: 15D2075377
  • Facility Name: MICHAEL S MILLER, DO, FIACOS, CWS, PC
  • Facility Address: 3850 SHORE DR #315
    INDIANAPOLIS, IN
    ZIP 46254
  • Facility Phone: 317 429-0061
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL S. MILLER
  • NPI Number: 1730122268
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 15D2075377
LAB Type Physician Office
Facility Name MICHAEL S MILLER, DO, FIACOS, CWS, PC
Street 3850 SHORE DR #315
City INDIANAPOLIS
State IN
ZIP 46254
Phone 317 429-0061
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2025
Certificate Expiration Date 9/24/2027
Facility Type Physician Office
Lab Director MICHAEL S. MILLER

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