15D2221787 CLIA NUMBER - EZ CLINIC INC

Laboratory Demographics

  • CLIA Code: 15D2221787
  • Facility Name: EZ CLINIC INC
  • Facility Address: 494 S EMERSON AVE SUITE I
    GREENWOOD, IN
    ZIP 46143
  • Facility Phone: 317 893-2884
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ROBERT B. BARBER
  • NPI Number: 1033607924
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 15D2221787
LAB Type Practitioner Other
Facility Name EZ CLINIC INC
Street 494 S EMERSON AVE SUITE I
City GREENWOOD
State IN
ZIP 46143
Phone 317 893-2884
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Practitioner Other
Lab Director ROBERT B. BARBER

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