15D2135539 CLIA NUMBER - UNIVERSITY DIALYSIS OF INDY

Laboratory Demographics

  • CLIA Code: 15D2135539
  • Facility Name: UNIVERSITY DIALYSIS OF INDY
  • Facility Address: 550 N UNIVERSITY BLVD, ROOM 1140
    INDIANAPOLIS, IN
    ZIP 46202
  • Facility Phone: 317 635-8729
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JAY B. WISH
  • NPI Number: 1588193544
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2135539
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name UNIVERSITY DIALYSIS OF INDY
Street 550 N UNIVERSITY BLVD, ROOM 1140
City INDIANAPOLIS
State IN
ZIP 46202
Phone 317 635-8729
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JAY B. WISH

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