15D2248625 CLIA NUMBER - MA CLINICAL LABORATORY SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 15D2248625
  • Facility Name: MA CLINICAL LABORATORY SERVICES, LLC
  • Facility Address: 3334 FOUNDERS RD
    INDIANAPOLIS, IN
    ZIP 46268
  • Facility Phone: 317 220-8499
  • Facility Type: Other - DIAGNOSTIC TESTING
  • Facility Type: Waiver
  • Lab Director: MYKESHIA TAYLOR
  • NPI Number: 1902552540
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2248625
LAB Type Other - DIAGNOSTIC TESTING
Facility Name MA CLINICAL LABORATORY SERVICES, LLC
Street 3334 FOUNDERS RD
City INDIANAPOLIS
State IN
ZIP 46268
Phone 317 220-8499
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2024
Certificate Expiration Date 1/13/2026
Facility Type Other - DIAGNOSTIC TESTING
Lab Director MYKESHIA TAYLOR

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