15D0948584 CLIA NUMBER - APPLEGARTH DERMATOLOGY PC

Laboratory Demographics

  • CLIA Code: 15D0948584
  • Facility Name: APPLEGARTH DERMATOLOGY PC
  • Facility Address: 3444 MONROE ST
    LA PORTE, IN
    ZIP 46350
  • Facility Phone: (219) 548-0360
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WILLIAM G. APPLEGARTH
  • NPI Number: 1982096822
  • Taxonomy: 363AM0700X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 15D0948584
LAB Type Physician Office
Facility Name APPLEGARTH DERMATOLOGY PC
Street 3444 MONROE ST
City LA PORTE
State IN
ZIP 46350
Phone 2195480360
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 7/14/2024
Certificate Expiration Date 7/13/2026
Facility Type Physician Office
Lab Director WILLIAM G. APPLEGARTH

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This page was last updated on: 5/18/2026