15D0953549 CLIA NUMBER - GAGAN CHADHA MD

Laboratory Demographics

  • CLIA Code: 15D0953549
  • Facility Name: GAGAN CHADHA MD
  • Facility Address: 166 SAGAMORE PKWY W
    WEST LAFAYETTE, IN
    ZIP 47906
  • Facility Phone: 765 447-8133
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GAGAN S. CHADHA
  • NPI Number: 1568430874
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0953549
LAB Type Physician Office
Facility Name GAGAN CHADHA MD
Street 166 SAGAMORE PKWY W
City WEST LAFAYETTE
State IN
ZIP 47906
Phone 765 447-8133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Physician Office
Lab Director GAGAN S. CHADHA

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