15D2103980 CLIA NUMBER - ASPIRE INDIANA HEALTH

Laboratory Demographics

  • CLIA Code: 15D2103980
  • Facility Name: ASPIRE INDIANA HEALTH
  • Facility Address: 2009 BROWN STREET
    ANDERSON, IN
    ZIP 46016
  • Facility Phone: 317 606-0328
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: JONATHAN BUTLER
  • NPI Number: 1124016050
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2103980
LAB Type Federally Qualified Health Center
Facility Name ASPIRE INDIANA HEALTH
Street 2009 BROWN STREET
City ANDERSON
State IN
ZIP 46016
Phone 317 606-0328
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Federally Qualified Health Center
Lab Director JONATHAN BUTLER

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