15D2191435 CLIA NUMBER - ASSOCIATED VITREORETINAL AND UVEITIS CONSULTANTS

Laboratory Demographics

  • CLIA Code: 15D2191435
  • Facility Name: ASSOCIATED VITREORETINAL AND UVEITIS CONSULTANTS
  • Facility Address: 12794 HAMILTON CROSSING BLVD
    CARMEL, IN
    ZIP 46032
  • Facility Phone: 317 571-1501
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAMANA S. MOORTHY
  • NPI Number: 1043270309
  • Taxonomy: 207WX0107X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 15D2191435
LAB Type Physician Office
Facility Name ASSOCIATED VITREORETINAL AND UVEITIS CONSULTANTS
Street 12794 HAMILTON CROSSING BLVD
City CARMEL
State IN
ZIP 46032
Phone 317 571-1501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2024
Certificate Expiration Date 8/26/2026
Facility Type Physician Office
Lab Director RAMANA S. MOORTHY

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