15D2192568 CLIA NUMBER - DAMAR PHARMACY SERVICES (DAMAR RX)

Laboratory Demographics

  • CLIA Code: 15D2192568
  • Facility Name: DAMAR PHARMACY SERVICES (DAMAR RX)
  • Facility Address: 5715 DECATUR BLVD
    INDIANAPOLIS, IN
    ZIP 46241
  • Facility Phone: 317 856-5201
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JIM L. DALTON
  • NPI Number: 1700413721
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2192568
LAB Type Pharmacy
Facility Name DAMAR PHARMACY SERVICES (DAMAR RX)
Street 5715 DECATUR BLVD
City INDIANAPOLIS
State IN
ZIP 46241
Phone 317 856-5201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Pharmacy
Lab Director JIM L. DALTON

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