15D2254556 CLIA NUMBER - GRAVITAS LABS LLC

Laboratory Demographics

  • CLIA Code: 15D2254556
  • Facility Name: GRAVITAS LABS LLC
  • Facility Address: 11903 E WELLAND STREET, SUITE F
    INDIANAPOLIS, IN
    ZIP 46229
  • Facility Phone: 317 701-4191
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: KIYA BEARD
  • NPI Number: 1255087201
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 15D2254556
LAB Type Independent
Facility Name GRAVITAS LABS LLC
Street 11903 E WELLAND STREET, SUITE F
City INDIANAPOLIS
State IN
ZIP 46229
Phone 317 701-4191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Independent
Lab Director KIYA BEARD

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