15D2187189 CLIA NUMBER - CHILDREN EXPRESS CARE CLINIC

Laboratory Demographics

  • CLIA Code: 15D2187189
  • Facility Name: CHILDREN EXPRESS CARE CLINIC
  • Facility Address: 5435 EMERSON WAY SUITE 100
    INDIANAPOLIS, IN
    ZIP 46226
  • Facility Phone: 317 362-0293
  • Facility Type: Other - INDEPENDENT PEDIATRIC PRI
  • Facility Type: Waiver
  • Lab Director: TAQUITA T. TAYLOR
  • NPI Number: 1922614965
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 15D2187189
LAB Type Other - INDEPENDENT PEDIATRIC PRI
Facility Name CHILDREN EXPRESS CARE CLINIC
Street 5435 EMERSON WAY SUITE 100
City INDIANAPOLIS
State IN
ZIP 46226
Phone 317 362-0293
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2024
Certificate Expiration Date 6/25/2026
Facility Type Other - INDEPENDENT PEDIATRIC PRI
Lab Director TAQUITA T. TAYLOR

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