15D0356371 CLIA NUMBER - NORTHWEST CANCER CENTER

Laboratory Demographics

  • CLIA Code: 15D0356371
  • Facility Name: NORTHWEST CANCER CENTER
  • Facility Address: 342 E 109TH AVE
    CROWN POINT, IN
    ZIP 46307
  • Facility Phone: 219 924-8178
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. MOHAMAD KASSAR
  • NPI Number: 1063987824
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 15D0356371
LAB Type Physician Office
Facility Name NORTHWEST CANCER CENTER
Street 342 E 109TH AVE
City CROWN POINT
State IN
ZIP 46307
Phone 219 924-8178
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Physician Office
Lab Director DR. MOHAMAD KASSAR

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