15D1006975 CLIA NUMBER - NEPHROLOGY PHYSICIANS LLC

Laboratory Demographics

  • CLIA Code: 15D1006975
  • Facility Name: NEPHROLOGY PHYSICIANS LLC
  • Facility Address: 710 PARK PL 2ND FLR
    MISHAWAKA, IN
    ZIP 46545
  • Facility Phone: (574) 273-6767
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES L. PORILE
  • NPI Number: 1518996719
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D1006975
LAB Type Physician Office
Facility Name NEPHROLOGY PHYSICIANS LLC
Street 710 PARK PL 2ND FLR
City MISHAWAKA
State IN
ZIP 46545
Phone 5742736767
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 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Physician Office
Lab Director JAMES L. PORILE

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