15D0886942 CLIA NUMBER - SAGAMORE SURGICAL SERVICES INC

Laboratory Demographics

  • CLIA Code: 15D0886942
  • Facility Name: SAGAMORE SURGICAL SERVICES INC
  • Facility Address: 2320 CONCORD ROAD, SUITE B
    LAFAYETTE, IN
    ZIP 47909
  • Facility Phone: 765 474-7838
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PATRICK R. ONEIL
  • NPI Number: 1003816307
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D0886942
LAB Type Ambulatory Surgery Center
Facility Name SAGAMORE SURGICAL SERVICES INC
Street 2320 CONCORD ROAD, SUITE B
City LAFAYETTE
State IN
ZIP 47909
Phone 765 474-7838
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Ambulatory Surgery Center
Lab Director PATRICK R. ONEIL

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