Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
15D2149016
|
|
Clinical laboratory number
|
|
Lab Name
|
FIVE STAR RESIDENCES OF BANTA POINTE
|
|
Laboratory Name
|
|
Lab Type
|
Assisted Living Facility
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
317-783-4663
|
|
Laboratory telephone number
|
|
Fax
|
317-783-4647
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
6510 US 31 SOUTH
|
|
Primary location adress line
|
|
City
|
INDIANAPOLIS
|
|
Primary location city name
|
|
State
|
IN
|
|
Primary location state name
|
|
Zip
|
46227
|
|
Primary location postal code
|