15D0925918 CLIA NUMBER - ASC SURGICAL VENTURES, LLC DBA OSMC OUTPATIENT SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 15D0925918
  • Facility Name: ASC SURGICAL VENTURES, LLC DBA OSMC OUTPATIENT SURGERY CENTER
  • Facility Address: 2310 CALIFORNIA RD
    ELKHART, IN
    ZIP 46514
  • Facility Phone: 574 266-4173
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: AMY KRISHER
  • NPI Number: 1780331769
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D0925918
LAB Type Ambulatory Surgery Center
Facility Name ASC SURGICAL VENTURES, LLC DBA OSMC OUTPATIENT SURGERY CENTER
Street 2310 CALIFORNIA RD
City ELKHART
State IN
ZIP 46514
Phone 574 266-4173
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Ambulatory Surgery Center
Lab Director AMY KRISHER

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