15D2258416 CLIA NUMBER - AVALON ALLIANCE HOMECARE, LLC

Laboratory Demographics

  • CLIA Code: 15D2258416
  • Facility Name: AVALON ALLIANCE HOMECARE, LLC
  • Facility Address: 6515 E 82ND STREET SUITE 101
    INDIANAPOLIS, IN
    ZIP 46250
  • Facility Phone: 317 288-9775
  • Facility Type: Other - HOME CARE AGENCY
  • Facility Type: Waiver
  • Lab Director: PAMELA BASTIAN
  • NPI Number: 1649043464
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 15D2258416
LAB Type Other - HOME CARE AGENCY
Facility Name AVALON ALLIANCE HOMECARE, LLC
Street 6515 E 82ND STREET SUITE 101
City INDIANAPOLIS
State IN
ZIP 46250
Phone 317 288-9775
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2024
Certificate Expiration Date 4/20/2026
Facility Type Other - HOME CARE AGENCY
Lab Director PAMELA BASTIAN

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