15D2100883 CLIA NUMBER - CHEGAR FACIAL PLASTIC SURGERY

Laboratory Demographics

  • CLIA Code: 15D2100883
  • Facility Name: CHEGAR FACIAL PLASTIC SURGERY
  • Facility Address: 735 W CARMEL DR STE 100
    CARMEL, IN
    ZIP 46032
  • Facility Phone: 317 818-5438
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THERESA L. KNOLL
  • NPI Number: 1194918540
  • Taxonomy: 2082S0099X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 15D2100883
LAB Type Physician Office
Facility Name CHEGAR FACIAL PLASTIC SURGERY
Street 735 W CARMEL DR STE 100
City CARMEL
State IN
ZIP 46032
Phone 317 818-5438
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Physician Office
Lab Director THERESA L. KNOLL

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