15D2257682 CLIA NUMBER - FAMILIAR FACES CLINICAL LABORATORY LLC

Laboratory Demographics

  • CLIA Code: 15D2257682
  • Facility Name: FAMILIAR FACES CLINICAL LABORATORY LLC
  • Facility Address: 2426 E 55TH PL
    INDIANAPOLIS, IN
    ZIP 46220
  • Facility Phone: (463) 221-2605
  • Facility Type: Other - DIAGNOSTIC TESTING
  • Facility Type: Waiver
  • Lab Director: SASHA MICHELLE ODOM
  • NPI Number: 1326935149
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 15D2257682
LAB Type Other - DIAGNOSTIC TESTING
Facility Name FAMILIAR FACES CLINICAL LABORATORY LLC
Street 2426 E 55TH PL
City INDIANAPOLIS
State IN
ZIP 46220
Phone 4632212605
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2026
Certificate Expiration Date 4/7/2028
Facility Type Other - DIAGNOSTIC TESTING
Lab Director SASHA MICHELLE ODOM

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This page was last updated on: 5/18/2026