15D0956185 CLIA NUMBER - FRANCISCAN PHY NETWK-FMS MNW PEDS/INTERNAL MED

Laboratory Demographics

  • CLIA Code: 15D0956185
  • Facility Name: FRANCISCAN PHY NETWK-FMS MNW PEDS/INTERNAL MED
  • Facility Address: 761 - 45TH ST, STE 123
    MUNSTER, IN
    ZIP 46321
  • Facility Phone: 219 934-2500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES CANTORNA
  • NPI Number: 1093188229
  • Taxonomy: 213E00000X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 15D0956185
LAB Type Physician Office
Facility Name FRANCISCAN PHY NETWK-FMS MNW PEDS/INTERNAL MED
Street 761 - 45TH ST, STE 123
City MUNSTER
State IN
ZIP 46321
Phone 219 934-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Physician Office
Lab Director JAMES CANTORNA

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