15D2152956 CLIA NUMBER - COMMUNITY PHYSICIANS OF IN, INC REACH

Laboratory Demographics

CLIA Number: 15D2152956

Facility Name: COMMUNITY PHYSICIANS OF IN, INC REACH

Facility Address:
2920 N ARLINGTON AVE, SUITE B
INDIANAPOLIS, IN
ZIP 46218
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Facility Phone Number: 317 355-9315

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1689906166

Taxonomy: 261QX0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	15D2152956
LAB Type	Physician Office
Facility Name	COMMUNITY PHYSICIANS OF IN, INC REACH
Street	2920 N ARLINGTON AVE, SUITE B
City	INDIANAPOLIS
State	IN
ZIP	46218
Phone	317 355-9315
CertificateType	3
CertificateEffectiveDate	8/21/2022
CertificateExpirationDate	8/20/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024