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15D2282651 CLIA NUMBER - IU HEALTH COMMUNITY HEALTH OUTREACH AND ENGAGEMENT

Laboratory Demographics

CLIA Number: 15D2282651

Facility Name: IU HEALTH COMMUNITY HEALTH OUTREACH AND ENGAGEMENT

Facility Address:
714 N SENATE BLVD SUITE 130
INDIANAPOLIS, IN
ZIP 46202
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Facility Phone Number: 317 414-0321

Facility Type: Mobile Laboratory

Certificate Type: Waiver
NPI Number: 1114105517

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 15D2282651
LAB Type Mobile Laboratory
Facility Name IU HEALTH COMMUNITY HEALTH OUTREACH AND ENGAGEMENT
Street 714 N SENATE BLVD SUITE 130
City INDIANAPOLIS
State IN
ZIP 46202
Phone 317 414-0321
CertificateType 4
CertificateEffectiveDate 5/24/2023
CertificateExpirationDate 5/23/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024