15D2272303 CLIA NUMBER - SACRED ROOTS BIRTH AND WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 15D2272303
  • Facility Name: SACRED ROOTS BIRTH AND WELLNESS CENTER
  • Facility Address: 7950 N SHADELAND STE 350
    INDIANAPOLIS, IN
    ZIP 46250
  • Facility Phone: 317 437-3681
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: ANGELA D. LYTTLE
  • NPI Number: 1215390778
  • Taxonomy: 367A00000X - Advanced Practice Midwife

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CLIA Record

Field Name Field Value
CLIA Number 15D2272303
LAB Type Practitioner Other
Facility Name SACRED ROOTS BIRTH AND WELLNESS CENTER
Street 7950 N SHADELAND STE 350
City INDIANAPOLIS
State IN
ZIP 46250
Phone 317 437-3681
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Practitioner Other
Lab Director ANGELA D. LYTTLE

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