15D2084754 CLIA NUMBER - CONCENTRA URGENT CARE - SHADELAND

Laboratory Demographics

  • CLIA Code: 15D2084754
  • Facility Name: CONCENTRA URGENT CARE - SHADELAND
  • Facility Address: 1311 N SHADELAND AVE, SUITE E - J
    INDIANAPOLIS, IN
    ZIP 46219
  • Facility Phone: 317 352-0933
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER KIMMEY
  • NPI Number: 1023504966
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2084754
LAB Type Physician Office
Facility Name CONCENTRA URGENT CARE - SHADELAND
Street 1311 N SHADELAND AVE, SUITE E - J
City INDIANAPOLIS
State IN
ZIP 46219
Phone 317 352-0933
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Physician Office
Lab Director CHRISTOPHER KIMMEY

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