15D2240944 CLIA NUMBER - ORTHOINDY CENTER GROVE

Laboratory Demographics

  • CLIA Code: 15D2240944
  • Facility Name: ORTHOINDY CENTER GROVE
  • Facility Address: 1579 OLIVE BRANCH PARKE LANE #130
    GREENWOOD, IN
    ZIP 46143
  • Facility Phone: 317 802-2000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN MOELLER
  • NPI Number: 1548273923
  • Taxonomy: 2255A2300X - Specialist/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 15D2240944
LAB Type Physician Office
Facility Name ORTHOINDY CENTER GROVE
Street 1579 OLIVE BRANCH PARKE LANE #130
City GREENWOOD
State IN
ZIP 46143
Phone 317 802-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2025
Certificate Expiration Date 10/21/2027
Facility Type Physician Office
Lab Director JOHN MOELLER

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