15D1096642 CLIA NUMBER - NORTHSHORE HEALTH CENTER -LAKE STATION ATTN ROBIN GONZALES

Laboratory Demographics

  • CLIA Code: 15D1096642
  • Facility Name: NORTHSHORE HEALTH CENTER -LAKE STATION ATTN ROBIN GONZALES
  • Facility Address: 2490 CENTRAL AVE
    LAKE STATION, IN
    ZIP 46405
  • Facility Phone: 219 962-2760
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LEONARD OSTROWSKI
  • NPI Number: 1497996839
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D1096642
LAB Type Physician Office
Facility Name NORTHSHORE HEALTH CENTER -LAKE STATION ATTN ROBIN GONZALES
Street 2490 CENTRAL AVE
City LAKE STATION
State IN
ZIP 46405
Phone 219 962-2760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Physician Office
Lab Director DR. LEONARD OSTROWSKI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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