15D2192796 CLIA NUMBER - LAKE MEADOWS ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 15D2192796
  • Facility Name: LAKE MEADOWS ASSISTED LIVING
  • Facility Address: 11570 E 126TH STREET
    FISHERS, IN
    ZIP 46037
  • Facility Phone: 317 759-0166
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: EANONN M. KEANE
  • NPI Number: 1659994200
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2192796
LAB Type Assisted Living Facility
Facility Name LAKE MEADOWS ASSISTED LIVING
Street 11570 E 126TH STREET
City FISHERS
State IN
ZIP 46037
Phone 317 759-0166
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2024
Certificate Expiration Date 9/14/2026
Facility Type Assisted Living Facility
Lab Director EANONN M. KEANE

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