15D2316450 CLIA NUMBER - KIPP INDY PUBLIC SCHOOLS

Laboratory Demographics

  • CLIA Code: 15D2316450
  • Facility Name: KIPP INDY PUBLIC SCHOOLS
  • Facility Address: 1740 E 30TH STREET
    INDIANAPOLIS, IN
    ZIP 46218
  • Facility Phone: 317 923-4534
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: MELISSA FIELDS
  • NPI Number: 1871913996
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 15D2316450
LAB Type School/Student Health Service
Facility Name KIPP INDY PUBLIC SCHOOLS
Street 1740 E 30TH STREET
City INDIANAPOLIS
State IN
ZIP 46218
Phone 317 923-4534
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type School/Student Health Service
Lab Director MELISSA FIELDS

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