15D2322022 CLIA NUMBER - WESTFIELD AMBULATORY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 15D2322022
  • Facility Name: WESTFIELD AMBULATORY SURGERY CENTER
  • Facility Address: 17300 WESTFIELD BLVD SUITE 100
    WESTFIELD, IN
    ZIP 46074
  • Facility Phone: 317 708-3732
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: TRAVIS MONTGOMERY
  • NPI Number: 1912405762
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 15D2322022
LAB Type Ambulatory Surgery Center
Facility Name WESTFIELD AMBULATORY SURGERY CENTER
Street 17300 WESTFIELD BLVD SUITE 100
City WESTFIELD
State IN
ZIP 46074
Phone 317 708-3732
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Ambulatory Surgery Center
Lab Director TRAVIS MONTGOMERY

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