15D2195454 CLIA NUMBER - OPTIMAL DIALYSIS

Laboratory Demographics

  • CLIA Code: 15D2195454
  • Facility Name: OPTIMAL DIALYSIS
  • Facility Address: 8315 E 56TH ST SUITE 120
    INDIANAPOLIS, IN
    ZIP 46216
  • Facility Phone: 888 261-2206
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: YVETTE A. DUPREE
  • NPI Number: 1902415359
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2195454
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name OPTIMAL DIALYSIS
Street 8315 E 56TH ST SUITE 120
City INDIANAPOLIS
State IN
ZIP 46216
Phone 888 261-2206
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director YVETTE A. DUPREE

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