15D1095248 CLIA NUMBER - 219 HEALTH NETWORK

Laboratory Demographics

  • CLIA Code: 15D1095248
  • Facility Name: 219 HEALTH NETWORK
  • Facility Address: 8141 KENNEDY AVE
    HIGHLAND, IN
    ZIP 46322
  • Facility Phone: 219 838-5040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FADIA J. HADDADIN
  • NPI Number: 1558918334
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D1095248
LAB Type Physician Office
Facility Name 219 HEALTH NETWORK
Street 8141 KENNEDY AVE
City HIGHLAND
State IN
ZIP 46322
Phone 219 838-5040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Physician Office
Lab Director FADIA J. HADDADIN

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