15D2316763 CLIA NUMBER - AVON MARKETPLACE ASC, LLC DBA WEST INDY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 15D2316763
  • Facility Name: AVON MARKETPLACE ASC, LLC DBA WEST INDY SURGERY CENTER
  • Facility Address: 156 AVON MARKETPLACE
    AVON, IN
    ZIP 46123
  • Facility Phone: 317 559-2298
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RONALD S. SUH
  • NPI Number: 1750129417
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2316763
LAB Type Ambulatory Surgery Center
Facility Name AVON MARKETPLACE ASC, LLC DBA WEST INDY SURGERY CENTER
Street 156 AVON MARKETPLACE
City AVON
State IN
ZIP 46123
Phone 317 559-2298
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Ambulatory Surgery Center
Lab Director RONALD S. SUH

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