15D0978803 CLIA NUMBER - HESSVILLE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 15D0978803
  • Facility Name: HESSVILLE PEDIATRICS
  • Facility Address: 6933 KENNEDY AVE STE C
    HAMMOND, IN
    ZIP 46323
  • Facility Phone: 219 844-2256
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NASIR A. SHAMSI
  • NPI Number: 1346064102
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 15D0978803
LAB Type Physician Office
Facility Name HESSVILLE PEDIATRICS
Street 6933 KENNEDY AVE STE C
City HAMMOND
State IN
ZIP 46323
Phone 219 844-2256
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Physician Office
Lab Director NASIR A. SHAMSI

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