15D2172506 CLIA NUMBER - INDIANAPOLIS SINUS CENTER

Laboratory Demographics

  • CLIA Code: 15D2172506
  • Facility Name: INDIANAPOLIS SINUS CENTER
  • Facility Address: 701 EAST COUNTY LINE ROAD, #209
    GREENWOOD, IN
    ZIP 46143
  • Facility Phone: 812 669-3705
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICHOLAS HOLLENKAMP
  • NPI Number: 1023035482
  • Taxonomy: 207T00000X - Neurological Surgery

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CLIA Record

Field Name Field Value
CLIA Number 15D2172506
LAB Type Physician Office
Facility Name INDIANAPOLIS SINUS CENTER
Street 701 EAST COUNTY LINE ROAD, #209
City GREENWOOD
State IN
ZIP 46143
Phone 812 669-3705
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2025
Certificate Expiration Date 9/23/2027
Facility Type Physician Office
Lab Director NICHOLAS HOLLENKAMP

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