15D2156820 CLIA NUMBER - JOHNSTONE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 15D2156820
  • Facility Name: JOHNSTONE FAMILY PRACTICE
  • Facility Address: 3711 E SOUTHPORT RD
    INDIANAPOLIS, IN
    ZIP 46227
  • Facility Phone: 317 884-3725
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANDREW A. JOHNSTONE
  • NPI Number: 1336577733
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2156820
LAB Type Physician Office
Facility Name JOHNSTONE FAMILY PRACTICE
Street 3711 E SOUTHPORT RD
City INDIANAPOLIS
State IN
ZIP 46227
Phone 317 884-3725
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/25/2024
Certificate Expiration Date 10/24/2026
Facility Type Physician Office
Lab Director ANDREW A. JOHNSTONE

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