15D2280591 CLIA NUMBER - NULIFE INDIANA INC

Laboratory Demographics

  • CLIA Code: 15D2280591
  • Facility Name: NULIFE INDIANA INC
  • Facility Address: 9623 WINDERMERE BLVD
    FISHERS, IN
    ZIP 46037
  • Facility Phone: 845 372-6480
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JESSIE LOGHMANI
  • NPI Number: 1679286272
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2280591
LAB Type Community Clinic
Facility Name NULIFE INDIANA INC
Street 9623 WINDERMERE BLVD
City FISHERS
State IN
ZIP 46037
Phone 845 372-6480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Community Clinic
Lab Director JESSIE LOGHMANI

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