15D0696266 CLIA NUMBER - PORTER PHYSICIAN SERVICES LLC

Laboratory Demographics

  • CLIA Code: 15D0696266
  • Facility Name: PORTER PHYSICIAN SERVICES LLC
  • Facility Address: 401 WALL ST, STE F
    VALPARAISO, IN
    ZIP 46383
  • Facility Phone: 219 462-2106
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUDHAKAR R. GARLAPATI
  • NPI Number: 1801943725
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 15D0696266
LAB Type Physician Office
Facility Name PORTER PHYSICIAN SERVICES LLC
Street 401 WALL ST, STE F
City VALPARAISO
State IN
ZIP 46383
Phone 219 462-2106
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 SUDHAKAR R. GARLAPATI

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