15D2106729 CLIA NUMBER - ALLIED WELLNESS GROUP, LLC

Laboratory Demographics

  • CLIA Code: 15D2106729
  • Facility Name: ALLIED WELLNESS GROUP, LLC
  • Facility Address: 8202 CLEARVISTA PKWY, SUITE 9F
    INDIANAPOLIS, IN
    ZIP 46256
  • Facility Phone: 800 294-0293
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN C. MILLER
  • NPI Number: 1518445089
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 15D2106729
LAB Type Physician Office
Facility Name ALLIED WELLNESS GROUP, LLC
Street 8202 CLEARVISTA PKWY, SUITE 9F
City INDIANAPOLIS
State IN
ZIP 46256
Phone 800 294-0293
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2023
Certificate Expiration Date 12/27/2025
Facility Type Physician Office
Lab Director JOHN C. MILLER

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