15D2284936 CLIA NUMBER - SERVANT EXPRESS CARE

Laboratory Demographics

  • CLIA Code: 15D2284936
  • Facility Name: SERVANT EXPRESS CARE
  • Facility Address: 2346 S LYNHURST DRIVE SUITE E 109
    INDIANAPOLIS, IN
    ZIP 46241
  • Facility Phone: 317 688-8160
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DUANESHA S. POTTER
  • NPI Number: 1396437141
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2284936
LAB Type Physician Office
Facility Name SERVANT EXPRESS CARE
Street 2346 S LYNHURST DRIVE SUITE E 109
City INDIANAPOLIS
State IN
ZIP 46241
Phone 317 688-8160
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Physician Office
Lab Director DUANESHA S. POTTER

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