15D0679860 CLIA NUMBER - LA PORTE CLINIC COMPANY, LLC D/B/A NORTHWEST MEDICAL GROUP - LA PORTE

Laboratory Demographics

  • CLIA Code: 15D0679860
  • Facility Name: LA PORTE CLINIC COMPANY, LLC D/B/A NORTHWEST MEDICAL GROUP - LA PORTE
  • Facility Address: 6923 W 400 N
    MICHIGAN CITY, IN
    ZIP 46360
  • Facility Phone: 219 325-0604
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH ARULANDU
  • NPI Number: 1578674495
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0679860
LAB Type Physician Office
Facility Name LA PORTE CLINIC COMPANY, LLC D/B/A NORTHWEST MEDICAL GROUP - LA PORTE
Street 6923 W 400 N
City MICHIGAN CITY
State IN
ZIP 46360
Phone 219 325-0604
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 JOSEPH ARULANDU

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