15D2301070 CLIA NUMBER - INDIANA ORTHOPAEDIC HOSPITAL, LLC

Laboratory Demographics

  • CLIA Code: 15D2301070
  • Facility Name: INDIANA ORTHOPAEDIC HOSPITAL, LLC
  • Facility Address: 246 EAST 175TH STREET
    WESTFIELD, IN
    ZIP 46074
  • Facility Phone: 317 275-6108
  • Facility Type: Other - POINT OF CARE TESTING
  • Facility Type: Certificate of Compliance
  • Lab Director: MARK H. KAVESH
  • NPI Number: 1174636237
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2301070
LAB Type Other - POINT OF CARE TESTING
Facility Name INDIANA ORTHOPAEDIC HOSPITAL, LLC
Street 246 EAST 175TH STREET
City WESTFIELD
State IN
ZIP 46074
Phone 317 275-6108
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/29/2024
Certificate Expiration Date 10/28/2026
Facility Type Other - POINT OF CARE TESTING
Lab Director MARK H. KAVESH

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