15D2293051 CLIA NUMBER - VALLE VISTA LLC (DBA) NEW VISTA NORTH

Laboratory Demographics

  • CLIA Code: 15D2293051
  • Facility Name: VALLE VISTA LLC (DBA) NEW VISTA NORTH
  • Facility Address: 4010 WEST 86TH STREET, SUITE D
    INDIANAPOLIS, IN
    ZIP 46268
  • Facility Phone: (317) 647-0102
  • Facility Type: Other - OPIOID TREATMENT PROGRAM
  • Facility Type: Waiver
  • Lab Director: SIMON FENG
  • NPI Number: 1548036262
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2293051
LAB Type Other - OPIOID TREATMENT PROGRAM
Facility Name VALLE VISTA LLC (DBA) NEW VISTA NORTH
Street 4010 WEST 86TH STREET, SUITE D
City INDIANAPOLIS
State IN
ZIP 46268
Phone 3176470102
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2025
Certificate Expiration Date 11/1/2027
Facility Type Other - OPIOID TREATMENT PROGRAM
Lab Director SIMON FENG

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