15D1037724 CLIA NUMBER - INNOVATIVE WOMEN'S HEALTH

Laboratory Demographics

  • CLIA Code: 15D1037724
  • Facility Name: INNOVATIVE WOMEN'S HEALTH
  • Facility Address: 3800 ST MARY DRIVE, STE 201
    VALPARAISO, IN
    ZIP 46383
  • Facility Phone: 219 286-3775
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DOUGLAS DEDELOW
  • NPI Number: 1588160725
  • Taxonomy: 1041C0700X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 15D1037724
LAB Type Physician Office
Facility Name INNOVATIVE WOMEN'S HEALTH
Street 3800 ST MARY DRIVE, STE 201
City VALPARAISO
State IN
ZIP 46383
Phone 219 286-3775
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 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Physician Office
Lab Director DOUGLAS DEDELOW

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