15D2254091 CLIA NUMBER - QUALIFIED HEALTHCARE, LLC

Laboratory Demographics

  • CLIA Code: 15D2254091
  • Facility Name: QUALIFIED HEALTHCARE, LLC
  • Facility Address: 5555 N TACOMA AVE SUITE 104
    INDIANAPOLIS, IN
    ZIP 46220
  • Facility Phone: 317 426-2210
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DEBORAH A. MCGLASSON
  • NPI Number: 1700489390
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2254091
LAB Type Practitioner Other
Facility Name QUALIFIED HEALTHCARE, LLC
Street 5555 N TACOMA AVE SUITE 104
City INDIANAPOLIS
State IN
ZIP 46220
Phone 317 426-2210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Practitioner Other
Lab Director DEBORAH A. MCGLASSON

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