15D2329344 CLIA NUMBER - CASTLETON

Laboratory Demographics

  • CLIA Code: 15D2329344
  • Facility Name: CASTLETON
  • Facility Address: 8307 CASTLETON ROAD
    INDIANAPOLIS, IN
    ZIP 46256
  • Facility Phone: 317 578-8608
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: JEFF RUBIN
  • NPI Number: 1558912436
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2329344
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name CASTLETON
Street 8307 CASTLETON ROAD
City INDIANAPOLIS
State IN
ZIP 46256
Phone 317 578-8608
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2025
Certificate Expiration Date 8/26/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director JEFF RUBIN

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