15D2183368 CLIA NUMBER - PCA CORRECTIONS, LLC DBA SYNCHRONY INDIANAPOLIS PHARMACY

Laboratory Demographics

  • CLIA Code: 15D2183368
  • Facility Name: PCA CORRECTIONS, LLC DBA SYNCHRONY INDIANAPOLIS PHARMACY
  • Facility Address: 5925 WEST 71ST STREET, SUITE B
    INDIANAPOLIS, IN
    ZIP 46278
  • Facility Phone: 866 308-2312
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JONATHAN ZIRCHER
  • NPI Number: 1639608458
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2183368
LAB Type Pharmacy
Facility Name PCA CORRECTIONS, LLC DBA SYNCHRONY INDIANAPOLIS PHARMACY
Street 5925 WEST 71ST STREET, SUITE B
City INDIANAPOLIS
State IN
ZIP 46278
Phone 866 308-2312
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2024
Certificate Expiration Date 5/3/2026
Facility Type Pharmacy
Lab Director JONATHAN ZIRCHER

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