15D0968577 CLIA NUMBER - ALLIED PHYSICIANS SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 15D0968577
  • Facility Name: ALLIED PHYSICIANS SURGERY CENTER LLC
  • Facility Address: 53990 CARMICHAEL DR STE 100
    SOUTH BEND, IN
    ZIP 46635
  • Facility Phone: 574 243-9700
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DANIEL RUDZINSKI
  • NPI Number: 1669032942
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 15D0968577
LAB Type Ambulatory Surgery Center
Facility Name ALLIED PHYSICIANS SURGERY CENTER LLC
Street 53990 CARMICHAEL DR STE 100
City SOUTH BEND
State IN
ZIP 46635
Phone 574 243-9700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type Ambulatory Surgery Center
Lab Director DANIEL RUDZINSKI

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