15D0356793 CLIA NUMBER - SHAUKAT A CHAUDHRY MD

Laboratory Demographics

  • CLIA Code: 15D0356793
  • Facility Name: SHAUKAT A CHAUDHRY MD
  • Facility Address: 303 S MAIN ST
    MISHAWAKA, IN
    ZIP 46544
  • Facility Phone: 219 255-4191
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAUKAT A. CHAUDHRY
  • NPI Number: 1871541110
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D0356793
LAB Type Physician Office
Facility Name SHAUKAT A CHAUDHRY MD
Street 303 S MAIN ST
City MISHAWAKA
State IN
ZIP 46544
Phone 219 255-4191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director SHAUKAT A. CHAUDHRY

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