15D2018248 CLIA NUMBER - ACTIVE DAY OF MERRILLVILLE

Laboratory Demographics

  • CLIA Code: 15D2018248
  • Facility Name: ACTIVE DAY OF MERRILLVILLE
  • Facility Address: 8672 BROADWAY
    MERRILLVILLE, IN
    ZIP 46410
  • Facility Phone: 219 769-6235
  • Facility Type: Other - ADULT DAY CARE
  • Facility Type: Waiver
  • Lab Director: MARIA CUBERO
  • NPI Number: 1134352008
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2018248
LAB Type Other - ADULT DAY CARE
Facility Name ACTIVE DAY OF MERRILLVILLE
Street 8672 BROADWAY
City MERRILLVILLE
State IN
ZIP 46410
Phone 219 769-6235
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2024
Certificate Expiration Date 12/28/2026
Facility Type Other - ADULT DAY CARE
Lab Director MARIA CUBERO

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