15D0356420 CLIA NUMBER - METHODIST HOSPITALS SL-CORE LABORATORY

Laboratory Demographics

  • CLIA Code: 15D0356420
  • Facility Name: METHODIST HOSPITALS SL-CORE LABORATORY
  • Facility Address: 8701 BROADWAY ATTN MUSHTAQ AHMED/LAB
    MERRILLVILLE, IN
    ZIP 46410
  • Facility Phone: 219 738-5688
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. XI Z. WANG
  • NPI Number: 1588337406
  • Taxonomy: 207RH0003X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D0356420
LAB Type Hospital
Facility Name METHODIST HOSPITALS SL-CORE LABORATORY
Street 8701 BROADWAY ATTN MUSHTAQ AHMED/LAB
City MERRILLVILLE
State IN
ZIP 46410
Phone 219 738-5688
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