15D1069567 CLIA NUMBER - MEMORIAL HOSPITAL OF SOUTH BEND/MAIN LAB

Laboratory Demographics

  • CLIA Code: 15D1069567
  • Facility Name: MEMORIAL HOSPITAL OF SOUTH BEND/MAIN LAB
  • Facility Address: 615 N MICHIGAN STREET
    SOUTH BEND, IN
    ZIP 46601
  • Facility Phone: 574 647-5440
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. JAMES J. DYER
  • NPI Number: 1013133487
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 15D1069567
LAB Type Hospital
Facility Name MEMORIAL HOSPITAL OF SOUTH BEND/MAIN LAB
Street 615 N MICHIGAN STREET
City SOUTH BEND
State IN
ZIP 46601
Phone 574 647-5440
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/26/2024
Certificate Expiration Date 6/25/2026
Facility Type Hospital
Lab Director DR. JAMES J. DYER

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