Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
15D2204244
|
|
Clinical laboratory number
|
|
Lab Name
|
GRACE ON WINGS, INC
|
|
Laboratory Name
|
|
Lab Type
|
Ambulance
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
317-248-0910
|
|
Laboratory telephone number
|
|
Fax
|
317-248-0900
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
5128 EAST STOP 11 ROAD, SUITE 37
|
|
Primary location adress line
|
|
City
|
INDIANAPOLIS
|
|
Primary location city name
|
|
State
|
IN
|
|
Primary location state name
|
|
Zip
|
46237
|
|
Primary location postal code
|