15D2156365 CLIA NUMBER - SPEEDWAY DIALYSIS

Laboratory Demographics

  • CLIA Code: 15D2156365
  • Facility Name: SPEEDWAY DIALYSIS
  • Facility Address: 2636 W MICHIGAN ST
    INDIANAPOLIS, IN
    ZIP 46222
  • Facility Phone: 317 423-0956
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: CHAD A. ZARSE
  • NPI Number: 1174006662
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2156365
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name SPEEDWAY DIALYSIS
Street 2636 W MICHIGAN ST
City INDIANAPOLIS
State IN
ZIP 46222
Phone 317 423-0956
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director CHAD A. ZARSE

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