15D2162391 CLIA NUMBER - OASIS AT 56TH, L P

Laboratory Demographics

  • CLIA Code: 15D2162391
  • Facility Name: OASIS AT 56TH, L P
  • Facility Address: 4940 W 56TH STREET
    INDIANAPOLIS, IN
    ZIP 46254
  • Facility Phone: 317 297-3115
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TERESA L. GLIDDEN
  • NPI Number: 1235600412
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2162391
LAB Type Assisted Living Facility
Facility Name OASIS AT 56TH, L P
Street 4940 W 56TH STREET
City INDIANAPOLIS
State IN
ZIP 46254
Phone 317 297-3115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Assisted Living Facility
Lab Director TERESA L. GLIDDEN

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