15D2328005 CLIA NUMBER - HOMEBASE CARE LLC

Laboratory Demographics

  • CLIA Code: 15D2328005
  • Facility Name: HOMEBASE CARE LLC
  • Facility Address: 12805 VIKINGS LANE
    FISHERS, IN
    ZIP 46037
  • Facility Phone: 317 289-3894
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: RONSHAY S. WALLS
  • NPI Number: 1770307514
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 15D2328005
LAB Type Mobile Laboratory
Facility Name HOMEBASE CARE LLC
Street 12805 VIKINGS LANE
City FISHERS
State IN
ZIP 46037
Phone 317 289-3894
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Mobile Laboratory
Lab Director RONSHAY S. WALLS

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