15D2252522 CLIA NUMBER - ATATJ PERSONAL CARE SERVICES LLC

Laboratory Demographics

  • CLIA Code: 15D2252522
  • Facility Name: ATATJ PERSONAL CARE SERVICES LLC
  • Facility Address: 7098 N SHADELAND AVE STE G
    INDIANAPOLIS, IN
    ZIP 46220
  • Facility Phone: 317 516-8152
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ASHLEY CARPENTER
  • NPI Number: 1467107623
  • Taxonomy: 3747A0650X - Technician

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CLIA Record

Field Name Field Value
CLIA Number 15D2252522
LAB Type Home Health Agency
Facility Name ATATJ PERSONAL CARE SERVICES LLC
Street 7098 N SHADELAND AVE STE G
City INDIANAPOLIS
State IN
ZIP 46220
Phone 317 516-8152
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2024
Certificate Expiration Date 2/10/2026
Facility Type Home Health Agency
Lab Director ASHLEY CARPENTER

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