15D2305409 CLIA NUMBER - DIGNITY & HOPE HOSPICE

Laboratory Demographics

  • CLIA Code: 15D2305409
  • Facility Name: DIGNITY & HOPE HOSPICE
  • Facility Address: 802 E 86TH STREET
    INDIANAPOLIS, IN
    ZIP 46240
  • Facility Phone: 866 201-8231
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JUSTIN G. GOFORTH
  • NPI Number: 1164262275
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 15D2305409
LAB Type Hospice
Facility Name DIGNITY & HOPE HOSPICE
Street 802 E 86TH STREET
City INDIANAPOLIS
State IN
ZIP 46240
Phone 866 201-8231
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2024
Certificate Expiration Date 5/29/2026
Facility Type Hospice
Lab Director JUSTIN G. GOFORTH

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