15D2150255 CLIA NUMBER - VISTACARE USA, LLC- INDIANAPOLIS SOUTH

Laboratory Demographics

  • CLIA Code: 15D2150255
  • Facility Name: VISTACARE USA, LLC- INDIANAPOLIS SOUTH
  • Facility Address: 37 SOUTH PARK BOULEVARD
    GREENWOOD, IN
    ZIP 46143
  • Facility Phone: 704 664-2876
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SELECE BEASLEY
  • NPI Number: 1629086707
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 15D2150255
LAB Type Hospice
Facility Name VISTACARE USA, LLC- INDIANAPOLIS SOUTH
Street 37 SOUTH PARK BOULEVARD
City GREENWOOD
State IN
ZIP 46143
Phone 704 664-2876
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2024
Certificate Expiration Date 6/19/2026
Facility Type Hospice
Lab Director SELECE BEASLEY

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