15D2078334 CLIA NUMBER - EVERSIDE HEALTH-TEAMSTERS 135

Laboratory Demographics

  • CLIA Code: 15D2078334
  • Facility Name: EVERSIDE HEALTH-TEAMSTERS 135
  • Facility Address: 5510 SOUTH EAST STREET BLDG A STE B
    INDIANAPOLIS, IN
    ZIP 46227
  • Facility Phone: 317 735-1525
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HILMA GREEN-RILEY
  • NPI Number: 1457749566
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2078334
LAB Type Physician Office
Facility Name EVERSIDE HEALTH-TEAMSTERS 135
Street 5510 SOUTH EAST STREET BLDG A STE B
City INDIANAPOLIS
State IN
ZIP 46227
Phone 317 735-1525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2024
Certificate Expiration Date 5/26/2026
Facility Type Physician Office
Lab Director HILMA GREEN-RILEY

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