15D1017820 CLIA NUMBER - LAPORTE PEDIATRICS PC DBA CHILDREN'S CLINIC MUNSTER

Laboratory Demographics

  • CLIA Code: 15D1017820
  • Facility Name: LAPORTE PEDIATRICS PC DBA CHILDREN'S CLINIC MUNSTER
  • Facility Address: 9337 CALUMET AVE, STE A
    MUNSTER, IN
    ZIP 46321
  • Facility Phone: 219 836-1855
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARWAN A. SAMAD
  • NPI Number: 1922183995
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 15D1017820
LAB Type Physician Office
Facility Name LAPORTE PEDIATRICS PC DBA CHILDREN'S CLINIC MUNSTER
Street 9337 CALUMET AVE, STE A
City MUNSTER
State IN
ZIP 46321
Phone 219 836-1855
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2025
Certificate Expiration Date 6/18/2027
Facility Type Physician Office
Lab Director MARWAN A. SAMAD

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