15D0898120 CLIA NUMBER - COMPREHENSIVE RENAL CARE - VALPARAISO

Laboratory Demographics

  • CLIA Code: 15D0898120
  • Facility Name: COMPREHENSIVE RENAL CARE - VALPARAISO
  • Facility Address: 606 E LINCOLNWAY
    VALPARAISO, IN
    ZIP 46383
  • Facility Phone: 219 531-1299
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MAHER AJAM
  • NPI Number: 1457314171
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D0898120
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COMPREHENSIVE RENAL CARE - VALPARAISO
Street 606 E LINCOLNWAY
City VALPARAISO
State IN
ZIP 46383
Phone 219 531-1299
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MAHER AJAM

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