15D2246601 CLIA NUMBER - AGILITY LAB SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 15D2246601
  • Facility Name: AGILITY LAB SERVICES, LLC
  • Facility Address: 540 WEST 65TH STREET
    INDIANAPOLIS, IN
    ZIP 46260
  • Facility Phone: 317 560-4943
  • Facility Type: Other - DIAGNOSTIC LAB SERVICES
  • Facility Type: Waiver
  • Lab Director: COURTNEY L. FLEMING
  • NPI Number: 1750042388
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2246601
LAB Type Other - DIAGNOSTIC LAB SERVICES
Facility Name AGILITY LAB SERVICES, LLC
Street 540 WEST 65TH STREET
City INDIANAPOLIS
State IN
ZIP 46260
Phone 317 560-4943
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2023
Certificate Expiration Date 12/27/2025
Facility Type Other - DIAGNOSTIC LAB SERVICES
Lab Director COURTNEY L. FLEMING

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