15D2148966 CLIA NUMBER - FIVE STAR RESIDENCES OF CLEARWATER

Laboratory Demographics

  • CLIA Code: 15D2148966
  • Facility Name: FIVE STAR RESIDENCES OF CLEARWATER
  • Facility Address: 4519 E 82ND STREET
    INDIANAPOLIS, IN
    ZIP 46250
  • Facility Phone: 317 849-2244
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SHANE PATTERSON
  • NPI Number: 1003545146
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2148966
LAB Type Assisted Living Facility
Facility Name FIVE STAR RESIDENCES OF CLEARWATER
Street 4519 E 82ND STREET
City INDIANAPOLIS
State IN
ZIP 46250
Phone 317 849-2244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Assisted Living Facility
Lab Director SHANE PATTERSON

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