15D2114710 CLIA NUMBER - SIDNEY & LOIS ESKENAZI HOSPITAL

Laboratory Demographics

  • CLIA Code: 15D2114710
  • Facility Name: SIDNEY & LOIS ESKENAZI HOSPITAL
  • Facility Address: 720 ESKENAZI AVE
    INDIANAPOLIS, IN
    ZIP 46202
  • Facility Phone: 317 880-5286
  • Facility Type: Hospital
  • Facility Type: Microscopy
  • Lab Director: RAYMOND L. KONGER
  • NPI Number: 1275893752
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2114710
LAB Type Hospital
Facility Name SIDNEY & LOIS ESKENAZI HOSPITAL
Street 720 ESKENAZI AVE
City INDIANAPOLIS
State IN
ZIP 46202
Phone 317 880-5286
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Hospital
Lab Director RAYMOND L. KONGER

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