15D2116383 CLIA NUMBER - VALLE VISTA HOSPITAL LLC

Laboratory Demographics

  • CLIA Code: 15D2116383
  • Facility Name: VALLE VISTA HOSPITAL LLC
  • Facility Address: 65 AIRPORT PARKWAY SUITE 110
    GREENWOOD, IN
    ZIP 46143
  • Facility Phone: 317 887-1348
  • Facility Type: Other - BEHAVIORAL HEALTH
  • Facility Type: Waiver
  • Lab Director: JENNIFER A. COMER
  • NPI Number: 1467612341
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 15D2116383
LAB Type Other - BEHAVIORAL HEALTH
Facility Name VALLE VISTA HOSPITAL LLC
Street 65 AIRPORT PARKWAY SUITE 110
City GREENWOOD
State IN
ZIP 46143
Phone 317 887-1348
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type Other - BEHAVIORAL HEALTH
Lab Director JENNIFER A. COMER

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