15D2239840 CLIA NUMBER - FRANCISCAN PHYSICIAN NETWORK - FRANCISCAN FERTILITY CARE CENTER

Laboratory Demographics

  • CLIA Code: 15D2239840
  • Facility Name: FRANCISCAN PHYSICIAN NETWORK - FRANCISCAN FERTILITY CARE CENTER
  • Facility Address: 610 E SOUTHPORT RD, SUITE 110
    INDIANAPOLIS, IN
    ZIP 46227
  • Facility Phone: 317 528-7071
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL PADILLA
  • NPI Number: 1659814044
  • Taxonomy: 302F00000X - Exclusive Provider Organization

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CLIA Record

Field Name Field Value
CLIA Number 15D2239840
LAB Type Physician Office
Facility Name FRANCISCAN PHYSICIAN NETWORK - FRANCISCAN FERTILITY CARE CENTER
Street 610 E SOUTHPORT RD, SUITE 110
City INDIANAPOLIS
State IN
ZIP 46227
Phone 317 528-7071
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2025
Certificate Expiration Date 10/13/2027
Facility Type Physician Office
Lab Director MICHAEL PADILLA

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