15D0356121 CLIA NUMBER - METHODIST HOSPITALS NL-IRL IMMEDIATE RESPONSE LAB

Laboratory Demographics

  • CLIA Code: 15D0356121
  • Facility Name: METHODIST HOSPITALS NL-IRL IMMEDIATE RESPONSE LAB
  • Facility Address: 600 GRANT ST
    GARY, IN
    ZIP 46402
  • Facility Phone: 219 886-4570
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. XI Z. WANG
  • NPI Number: 1740250075
  • Taxonomy: 207ZP0102X - Pathology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D0356121
LAB Type Hospital
Facility Name METHODIST HOSPITALS NL-IRL IMMEDIATE RESPONSE LAB
Street 600 GRANT ST
City GARY
State IN
ZIP 46402
Phone 219 886-4570
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Hospital
Lab Director DR. XI Z. WANG

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