15D0666787 CLIA NUMBER - LAPORTE COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 15D0666787
  • Facility Name: LAPORTE COUNTY HEALTH DEPARTMENT
  • Facility Address: 809 STATE ST STE 401A
    LA PORTE, IN
    ZIP 46350
  • Facility Phone: 219 326-6808
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JENNIFER L. SMITH
  • NPI Number: 1124071188
  • Taxonomy: 3416L0300X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D0666787
LAB Type Community Clinic
Facility Name LAPORTE COUNTY HEALTH DEPARTMENT
Street 809 STATE ST STE 401A
City LA PORTE
State IN
ZIP 46350
Phone 219 326-6808
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 Community Clinic
Lab Director JENNIFER L. SMITH

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