15D2215713 CLIA NUMBER - PROMED

Laboratory Demographics

  • CLIA Code: 15D2215713
  • Facility Name: PROMED
  • Facility Address: 8202 CLEARVISTA PARKWAY SUITE 5B
    INDIANAPOLIS, IN
    ZIP 46256
  • Facility Phone: 317 429-0088
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ENRIQUE A. ARGOTE
  • NPI Number: 1457517476
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2215713
LAB Type Physician Office
Facility Name PROMED
Street 8202 CLEARVISTA PARKWAY SUITE 5B
City INDIANAPOLIS
State IN
ZIP 46256
Phone 317 429-0088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Physician Office
Lab Director ENRIQUE A. ARGOTE

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