15D0355996 CLIA NUMBER - ASSOCIATED PEDIATRICIANS

Laboratory Demographics

  • CLIA Code: 15D0355996
  • Facility Name: ASSOCIATED PEDIATRICIANS
  • Facility Address: 1111 GLENDALE BLVD, SUITE 101
    VALPARAISO, IN
    ZIP 46383
  • Facility Phone: 219 462-0555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PABLO A. BUKATA
  • NPI Number: 1952469538
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 15D0355996
LAB Type Physician Office
Facility Name ASSOCIATED PEDIATRICIANS
Street 1111 GLENDALE BLVD, SUITE 101
City VALPARAISO
State IN
ZIP 46383
Phone 219 462-0555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2024
Certificate Expiration Date 12/31/2025
Facility Type Physician Office
Lab Director PABLO A. BUKATA

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