15D1012788 CLIA NUMBER - CARDIOVASCULAR CONSULTANTS, PC

Laboratory Demographics

  • CLIA Code: 15D1012788
  • Facility Name: CARDIOVASCULAR CONSULTANTS, PC
  • Facility Address: 10010 DONALD POWERS DR
    MUNSTER, IN
    ZIP 46321
  • Facility Phone: 219 934-4200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAVI BHAGWAT
  • NPI Number: 1538106711
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D1012788
LAB Type Physician Office
Facility Name CARDIOVASCULAR CONSULTANTS, PC
Street 10010 DONALD POWERS DR
City MUNSTER
State IN
ZIP 46321
Phone 219 934-4200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Physician Office
Lab Director RAVI BHAGWAT

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