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15D0356067 CLIA NUMBER - PORTER PHYSICIAN SERVICES LLC

Laboratory Demographics

CLIA Number: 15D0356067

Facility Name: PORTER PHYSICIAN SERVICES LLC

Facility Address:
808 E LINCOLN WAY STE C
VALPARAISO, IN
ZIP 46383
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Facility Phone Number: 219 462-4446

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1801943725

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name Field Value
CLIA Number 15D0356067
LAB Type Physician Office
Facility Name PORTER PHYSICIAN SERVICES LLC
Street 808 E LINCOLN WAY STE C
City VALPARAISO
State IN
ZIP 46383
Phone 219 462-4446
CertificateType 4
CertificateEffectiveDate 8/27/2023
CertificateExpirationDate 8/26/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024