15D2329073 CLIA NUMBER - THRIVE STUDIO LLC

Laboratory Demographics

  • CLIA Code: 15D2329073
  • Facility Name: THRIVE STUDIO LLC
  • Facility Address: 826 WEST 64TH STREET SUITE 106, 107, 109
    INDIANAPOLIS, IN
    ZIP 46260
  • Facility Phone: 317 820-2780
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNETTE C. FEARNOT-KLIGERMAN
  • NPI Number: 1316824113
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2329073
LAB Type Physician Office
Facility Name THRIVE STUDIO LLC
Street 826 WEST 64TH STREET SUITE 106, 107, 109
City INDIANAPOLIS
State IN
ZIP 46260
Phone 317 820-2780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Physician Office
Lab Director ANNETTE C. FEARNOT-KLIGERMAN

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