15D2094831 CLIA NUMBER - ORTHOPAEDICS INDIANAPOLIS

Laboratory Demographics

  • CLIA Code: 15D2094831
  • Facility Name: ORTHOPAEDICS INDIANAPOLIS
  • Facility Address: 8402 N HARCOURT RD, STE 125
    INDIANAPOLIS, IN
    ZIP 46260
  • Facility Phone: 317 956-1093
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN MOELLER
  • NPI Number: 1134431125
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 15D2094831
LAB Type Physician Office
Facility Name ORTHOPAEDICS INDIANAPOLIS
Street 8402 N HARCOURT RD, STE 125
City INDIANAPOLIS
State IN
ZIP 46260
Phone 317 956-1093
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2025
Certificate Expiration Date 4/23/2027
Facility Type Physician Office
Lab Director JOHN MOELLER

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