15D0875421 CLIA NUMBER - HEART CITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 15D0875421
  • Facility Name: HEART CITY HEALTH CENTER
  • Facility Address: 236 SIMPSON AVE
    ELKHART, IN
    ZIP 46516
  • Facility Phone: 574 293-0052
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: MEENASHKI GUPTA
  • NPI Number: 1861034688
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D0875421
LAB Type Federally Qualified Health Center
Facility Name HEART CITY HEALTH CENTER
Street 236 SIMPSON AVE
City ELKHART
State IN
ZIP 46516
Phone 574 293-0052
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 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type Federally Qualified Health Center
Lab Director MEENASHKI GUPTA

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