15D2082525 CLIA NUMBER - COMMUNITY CANCER CENTER NORTH

Laboratory Demographics

  • CLIA Code: 15D2082525
  • Facility Name: COMMUNITY CANCER CENTER NORTH
  • Facility Address: 7979 N SHADELAND AVENUE
    INDIANAPOLIS, IN
    ZIP 46250
  • Facility Phone: 317 621-4440
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: DR. MODESON-SAMUEL B. FERRER
  • NPI Number: 1023600178
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2082525
LAB Type Community Clinic
Facility Name COMMUNITY CANCER CENTER NORTH
Street 7979 N SHADELAND AVENUE
City INDIANAPOLIS
State IN
ZIP 46250
Phone 317 621-4440
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Community Clinic
Lab Director DR. MODESON-SAMUEL B. FERRER

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