15D2174509 CLIA NUMBER - MCGOL ASSOCIATE

Laboratory Demographics

  • CLIA Code: 15D2174509
  • Facility Name: MCGOL ASSOCIATE
  • Facility Address: 2160 W 86TH ST
    INDIANAPOLIS, IN
    ZIP 46260
  • Facility Phone: 317 943-4200
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MAHESH GOEL
  • NPI Number: 1093011793
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 15D2174509
LAB Type Physician Office
Facility Name MCGOL ASSOCIATE
Street 2160 W 86TH ST
City INDIANAPOLIS
State IN
ZIP 46260
Phone 317 943-4200
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 11/4/2023
Certificate Expiration Date 11/3/2025
Facility Type Physician Office
Lab Director MAHESH GOEL

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