15D2250203 CLIA NUMBER - COMMUNITY PHYSCIANS OF INDIANA

Laboratory Demographics

  • CLIA Code: 15D2250203
  • Facility Name: COMMUNITY PHYSCIANS OF INDIANA
  • Facility Address: 11787 LANTERN RD SUITE 200
    FISHERS, IN
    ZIP 46038
  • Facility Phone: 317 497-6169
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HOLLY BARNA
  • NPI Number: 1942866546
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2250203
LAB Type Physician Office
Facility Name COMMUNITY PHYSCIANS OF INDIANA
Street 11787 LANTERN RD SUITE 200
City FISHERS
State IN
ZIP 46038
Phone 317 497-6169
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Physician Office
Lab Director HOLLY BARNA

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