15D2307997 CLIA NUMBER - RAW HOME HEALTHCARE SERVICES LLC

Laboratory Demographics

  • CLIA Code: 15D2307997
  • Facility Name: RAW HOME HEALTHCARE SERVICES LLC
  • Facility Address: 5645 E RAYMOND ST
    INDIANAPOLIS, IN
    ZIP 46203
  • Facility Phone: 317 550-5181
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: RANADA WILLIAMS EDMONDS
  • NPI Number: 1538854682
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 15D2307997
LAB Type Home Health Agency
Facility Name RAW HOME HEALTHCARE SERVICES LLC
Street 5645 E RAYMOND ST
City INDIANAPOLIS
State IN
ZIP 46203
Phone 317 550-5181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Home Health Agency
Lab Director RANADA WILLIAMS EDMONDS

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This page was last updated on: 3/20/2025