15D2127402 CLIA NUMBER - CENTRAL INDIANA UROLOGY

Laboratory Demographics

  • CLIA Code: 15D2127402
  • Facility Name: CENTRAL INDIANA UROLOGY
  • Facility Address: 9240 N MERIDIAN ST, SUITE 200
    INDIANAPOLIS, IN
    ZIP 46260
  • Facility Phone: 317 689-0753
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN KIM
  • NPI Number: 1356882401
  • Taxonomy: 208800000X - Urology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2127402
LAB Type Physician Office
Facility Name CENTRAL INDIANA UROLOGY
Street 9240 N MERIDIAN ST, SUITE 200
City INDIANAPOLIS
State IN
ZIP 46260
Phone 317 689-0753
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Physician Office
Lab Director STEVEN KIM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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