15D2096169 CLIA NUMBER - OASIS AT 30TH STREET

Laboratory Demographics

  • CLIA Code: 15D2096169
  • Facility Name: OASIS AT 30TH STREET
  • Facility Address: 5651 E 30TH ST
    INDIANAPOLIS, IN
    ZIP 46218
  • Facility Phone: 317 297-9000
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MAURICE WOOLFOLK
  • NPI Number: 1053790725
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2096169
LAB Type Assisted Living Facility
Facility Name OASIS AT 30TH STREET
Street 5651 E 30TH ST
City INDIANAPOLIS
State IN
ZIP 46218
Phone 317 297-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/18/2025
Certificate Expiration Date 5/17/2027
Facility Type Assisted Living Facility
Lab Director MAURICE WOOLFOLK

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