15D1007202 CLIA NUMBER - COMPREHENSIVE RENAL CARE - MUNSTER

Laboratory Demographics

  • CLIA Code: 15D1007202
  • Facility Name: COMPREHENSIVE RENAL CARE - MUNSTER
  • Facility Address: 9100 CALUMET AVE
    MUNSTER, IN
    ZIP 46321
  • Facility Phone: 219 836-1299
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SANJEEV RASTOGI
  • NPI Number: 1699738484
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D1007202
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name COMPREHENSIVE RENAL CARE - MUNSTER
Street 9100 CALUMET AVE
City MUNSTER
State IN
ZIP 46321
Phone 219 836-1299
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SANJEEV RASTOGI

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