15D2307342 CLIA NUMBER - VALIANT PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 15D2307342
  • Facility Name: VALIANT PRIMARY CARE
  • Facility Address: 262 S FORD RD, SUITE 300
    ZIONSVILLE, IN
    ZIP 46077
  • Facility Phone: 317 204-3695
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUKE S. PITTMAN
  • NPI Number: 1407679582
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 15D2307342
LAB Type Physician Office
Facility Name VALIANT PRIMARY CARE
Street 262 S FORD RD, SUITE 300
City ZIONSVILLE
State IN
ZIP 46077
Phone 317 204-3695
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Physician Office
Lab Director LUKE S. PITTMAN

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