15D2029550 CLIA NUMBER - CONNERY PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 15D2029550
  • Facility Name: CONNERY PEDIATRICS, LLC
  • Facility Address: 300 WEST 80TH PLACE, SUITE A
    MERRILLVILLE, IN
    ZIP 46410
  • Facility Phone: 219 662-3931
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARC A. CONNERY
  • NPI Number: 1346529724
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 15D2029550
LAB Type Physician Office
Facility Name CONNERY PEDIATRICS, LLC
Street 300 WEST 80TH PLACE, SUITE A
City MERRILLVILLE
State IN
ZIP 46410
Phone 219 662-3931
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Physician Office
Lab Director MARC A. CONNERY

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