15D1029156 CLIA NUMBER - METHODIST PHYSICIANS GROUP

Laboratory Demographics

  • CLIA Code: 15D1029156
  • Facility Name: METHODIST PHYSICIANS GROUP
  • Facility Address: 2269 W 25TH AVE ATTN DR MICHAEL LINTON MD
    GARY, IN
    ZIP 46404
  • Facility Phone: 219 944-4187
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MICHAEL LINTON
  • NPI Number: 1609104033
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 15D1029156
LAB Type Physician Office
Facility Name METHODIST PHYSICIANS GROUP
Street 2269 W 25TH AVE ATTN DR MICHAEL LINTON MD
City GARY
State IN
ZIP 46404
Phone 219 944-4187
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 8/11/2024
Certificate Expiration Date 8/10/2026
Facility Type Physician Office
Lab Director MICHAEL LINTON

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