15D2274500 CLIA NUMBER - ESSENTIAL LAB SERVICES LLC

Laboratory Demographics

  • CLIA Code: 15D2274500
  • Facility Name: ESSENTIAL LAB SERVICES LLC
  • Facility Address: 7022 W 10TH STREET SUITE A
    INDIANAPOLIS, IN
    ZIP 46214
  • Facility Phone: 317 966-6298
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: SHAWNISHA LEWIS
  • NPI Number: 1215713789
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 15D2274500
LAB Type Mobile Laboratory
Facility Name ESSENTIAL LAB SERVICES LLC
Street 7022 W 10TH STREET SUITE A
City INDIANAPOLIS
State IN
ZIP 46214
Phone 317 966-6298
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Mobile Laboratory
Lab Director SHAWNISHA LEWIS

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