15D2297706 CLIA NUMBER - EAGLE CREEK URGENT CARE LLC

Laboratory Demographics

  • CLIA Code: 15D2297706
  • Facility Name: EAGLE CREEK URGENT CARE LLC
  • Facility Address: 5645 LAFAYETTE RD SUITE A
    INDIANAPOLIS, IN
    ZIP 46254
  • Facility Phone: 317 387-3050
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: JOSEPH BRINKLEY
  • NPI Number: 1316715105
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2297706
LAB Type Other - URGENT CARE
Facility Name EAGLE CREEK URGENT CARE LLC
Street 5645 LAFAYETTE RD SUITE A
City INDIANAPOLIS
State IN
ZIP 46254
Phone 317 387-3050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Other - URGENT CARE
Lab Director JOSEPH BRINKLEY

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