15D2257212 CLIA NUMBER - PEONY HEALTHCARE SERVICES

Laboratory Demographics

  • CLIA Code: 15D2257212
  • Facility Name: PEONY HEALTHCARE SERVICES
  • Facility Address: 438 S EMERSON AVE STE 164
    GREENWOOD, IN
    ZIP 46143
  • Facility Phone: 317 360-2352
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: NICOLE HISAYI
  • NPI Number: 1477170157
  • Taxonomy: 163WA2000X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 15D2257212
LAB Type Mobile Laboratory
Facility Name PEONY HEALTHCARE SERVICES
Street 438 S EMERSON AVE STE 164
City GREENWOOD
State IN
ZIP 46143
Phone 317 360-2352
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Mobile Laboratory
Lab Director NICOLE HISAYI

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