15D2264535 CLIA NUMBER - HEALTHNET COMMUNITY HEALTH CENTERS

Laboratory Demographics

  • CLIA Code: 15D2264535
  • Facility Name: HEALTHNET COMMUNITY HEALTH CENTERS
  • Facility Address: 6425 OLIVIA LANE (UNIT409)
    INDIANAPOLIS, IN
    ZIP 46226
  • Facility Phone: 317 957-2011
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: VARON CANTRELL
  • NPI Number: 1780634964
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2264535
LAB Type Federally Qualified Health Center
Facility Name HEALTHNET COMMUNITY HEALTH CENTERS
Street 6425 OLIVIA LANE (UNIT409)
City INDIANAPOLIS
State IN
ZIP 46226
Phone 317 957-2011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type Federally Qualified Health Center
Lab Director VARON CANTRELL

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