15D2319834 CLIA NUMBER - CROWN HEALTH SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 15D2319834
  • Facility Name: CROWN HEALTH SERVICES, LLC
  • Facility Address: 610 NORTH HIGH SCHOOL ROAD STE B
    INDIANAPOLIS, IN
    ZIP 46214
  • Facility Phone: 317 744-9167
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: COMFORT O. ADEOLA
  • NPI Number: 1225874621
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 15D2319834
LAB Type Home Health Agency
Facility Name CROWN HEALTH SERVICES, LLC
Street 610 NORTH HIGH SCHOOL ROAD STE B
City INDIANAPOLIS
State IN
ZIP 46214
Phone 317 744-9167
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2025
Certificate Expiration Date 3/6/2027
Facility Type Home Health Agency
Lab Director COMFORT O. ADEOLA

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