15D0866628 CLIA NUMBER - PRIMARY CARE CONSULTANTS

Laboratory Demographics

  • CLIA Code: 15D0866628
  • Facility Name: PRIMARY CARE CONSULTANTS
  • Facility Address: 1619 W 5TH AVE
    GARY, IN
    ZIP 46404
  • Facility Phone: 219 886-4788
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID E. ROSS
  • NPI Number: 1407985971
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0866628
LAB Type Physician Office
Facility Name PRIMARY CARE CONSULTANTS
Street 1619 W 5TH AVE
City GARY
State IN
ZIP 46404
Phone 219 886-4788
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/25/2025
Certificate Expiration Date 5/24/2027
Facility Type Physician Office
Lab Director DAVID E. ROSS

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