15D2191462 CLIA NUMBER - EVOLVE INDY, LLC

Laboratory Demographics

  • CLIA Code: 15D2191462
  • Facility Name: EVOLVE INDY, LLC
  • Facility Address: 8770 GUION ROAD, SUITE B
    INDIANAPOLIS, IN
    ZIP 46268
  • Facility Phone: 317 608-2780
  • Facility Type: Other - SUBSTANCE USE FACILITY
  • Facility Type: Waiver
  • Lab Director: MARTY NORMAN
  • NPI Number: 1699302356
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2191462
LAB Type Other - SUBSTANCE USE FACILITY
Facility Name EVOLVE INDY, LLC
Street 8770 GUION ROAD, SUITE B
City INDIANAPOLIS
State IN
ZIP 46268
Phone 317 608-2780
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 Other - SUBSTANCE USE FACILITY
Lab Director MARTY NORMAN

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