15D0874755 CLIA NUMBER - MUNSTER MED-INN

Laboratory Demographics

  • CLIA Code: 15D0874755
  • Facility Name: MUNSTER MED-INN
  • Facility Address: 7935 CALUMET AVE
    MUNSTER, IN
    ZIP 46321
  • Facility Phone: 219 836-8300
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TAMARA WHITE-JONES
  • NPI Number: 1770642167
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0874755
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MUNSTER MED-INN
Street 7935 CALUMET AVE
City MUNSTER
State IN
ZIP 46321
Phone 219 836-8300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TAMARA WHITE-JONES

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