15D2083277 CLIA NUMBER - COMPASSUS - INDIANAPOLIS

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Laboratory Demographics

CLIA Number: 15D2083277

Facility Name: COMPASSUS - INDIANAPOLIS

Facility Address:
3530 WEST FOX RIDGE LANE
MUNCIE, IN
ZIP 47304
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Facility Phone Number: 765 288-2162

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1619395266

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	15D2083277
LAB Type	Hospice
Facility Name	COMPASSUS - INDIANAPOLIS
Street	3530 WEST FOX RIDGE LANE
City	MUNCIE
State	IN
ZIP	47304
Phone	765 288-2162
CertificateType	4
CertificateEffectiveDate	9/2/2022
CertificateExpirationDate	9/1/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024