15D0356825 CLIA NUMBER - MISHAWAKA OSTEOPATHIC CLINIC

Laboratory Demographics

  • CLIA Code: 15D0356825
  • Facility Name: MISHAWAKA OSTEOPATHIC CLINIC
  • Facility Address: 1207 LINCOLN WAY WEST
    MISHAWAKA, IN
    ZIP 46544
  • Facility Phone: (574) 255-4733
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAURA L. HELMAN
  • NPI Number: 1336271253
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0356825
LAB Type Physician Office
Facility Name MISHAWAKA OSTEOPATHIC CLINIC
Street 1207 LINCOLN WAY WEST
City MISHAWAKA
State IN
ZIP 46544
Phone 5742554733
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2024
Certificate Expiration Date 10/23/2026
Facility Type Physician Office
Lab Director LAURA L. HELMAN

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This page was last updated on: 5/18/2026