15D1060750 CLIA NUMBER - FAMILY MEDICINE OF MERRILLVILLE

Laboratory Demographics

CLIA Number: 15D1060750

Facility Name: FAMILY MEDICINE OF MERRILLVILLE

Facility Address:
3903 E US HWY 30
MERRILLVILLE, IN
ZIP 46410
Get Directions

Facility Phone Number: 219 736-0900

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1194772285

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	15D1060750
LAB Type	Physician Office
Facility Name	FAMILY MEDICINE OF MERRILLVILLE
Street	3903 E US HWY 30
City	MERRILLVILLE
State	IN
ZIP	46410
Phone	219 736-0900
CertificateType	3
CertificateEffectiveDate	10/31/2022
CertificateExpirationDate	10/30/2024
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024