15D0355679 CLIA NUMBER - LAPORTE OSTEOPATHIC FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 15D0355679
  • Facility Name: LAPORTE OSTEOPATHIC FAMILY PRACTICE
  • Facility Address: 125 EAST SHORE PARKWAY SUITE D
    LA PORTE, IN
    ZIP 46350
  • Facility Phone: 219 325-0155
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLAYTON B. ALEXANDER
  • NPI Number: 1568656320
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D0355679
LAB Type Physician Office
Facility Name LAPORTE OSTEOPATHIC FAMILY PRACTICE
Street 125 EAST SHORE PARKWAY SUITE D
City LA PORTE
State IN
ZIP 46350
Phone 219 325-0155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Physician Office
Lab Director CLAYTON B. ALEXANDER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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