15D0677545 CLIA NUMBER - 219 HEALTH NETWORK, INC

Laboratory Demographics

  • CLIA Code: 15D0677545
  • Facility Name: 219 HEALTH NETWORK, INC
  • Facility Address: 13963 MORSE ST
    CEDAR LAKE, IN
    ZIP 46303
  • Facility Phone: 219 374-5555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JON MISCH
  • NPI Number: 1669104964
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D0677545
LAB Type Physician Office
Facility Name 219 HEALTH NETWORK, INC
Street 13963 MORSE ST
City CEDAR LAKE
State IN
ZIP 46303
Phone 219 374-5555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director JON MISCH

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