15D2025326 CLIA NUMBER - OCCU-MED PC

Laboratory Demographics

  • CLIA Code: 15D2025326
  • Facility Name: OCCU-MED PC
  • Facility Address: 2230 INDIANAPOLIS BLVD
    WHITING, IN
    ZIP 46394
  • Facility Phone: 219 659-0333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NIDAL HASAN
  • NPI Number: 1295037232
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2025326
LAB Type Physician Office
Facility Name OCCU-MED PC
Street 2230 INDIANAPOLIS BLVD
City WHITING
State IN
ZIP 46394
Phone 219 659-0333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2025
Certificate Expiration Date 6/6/2027
Facility Type Physician Office
Lab Director NIDAL HASAN

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