15D2278604 CLIA NUMBER - FRESH START TREATMENT FACILITY

Laboratory Demographics

  • CLIA Code: 15D2278604
  • Facility Name: FRESH START TREATMENT FACILITY
  • Facility Address: 3208 NORTH SHERMAN DRIVE
    INDIANAPOLIS, IN
    ZIP 46218
  • Facility Phone: (317) 653-1033
  • Facility Type: Other - RESIDENTIAL ADDICTION
  • Facility Type: Waiver
  • Lab Director: MICHAEL S. MILLER
  • NPI Number: 1083371504
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2278604
LAB Type Other - RESIDENTIAL ADDICTION
Facility Name FRESH START TREATMENT FACILITY
Street 3208 NORTH SHERMAN DRIVE
City INDIANAPOLIS
State IN
ZIP 46218
Phone 3176531033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Other - RESIDENTIAL ADDICTION
Lab Director MICHAEL S. MILLER

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