15D0670139 CLIA NUMBER - NORTHWEST HEALTH - PORTAGE

Laboratory Demographics

  • CLIA Code: 15D0670139
  • Facility Name: NORTHWEST HEALTH - PORTAGE
  • Facility Address: 3630 WILLOWCREEK RD
    PORTAGE, IN
    ZIP 46368
  • Facility Phone: 219 364-3000
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: JOHN D. FECZKO
  • NPI Number: 1154571180
  • Taxonomy: 273Y00000X - Rehabilitation Unit

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CLIA Record

Field Name Field Value
CLIA Number 15D0670139
LAB Type Hospital
Facility Name NORTHWEST HEALTH - PORTAGE
Street 3630 WILLOWCREEK RD
City PORTAGE
State IN
ZIP 46368
Phone 219 364-3000
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 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Hospital
Lab Director JOHN D. FECZKO

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