15D2031682 CLIA NUMBER - METHODIST HOSPITALS OUTPATIENT CARDIAC

Laboratory Demographics

  • CLIA Code: 15D2031682
  • Facility Name: METHODIST HOSPITALS OUTPATIENT CARDIAC
  • Facility Address: 753 E 81ST AVE, STE 4
    MERRILLVILLE, IN
    ZIP 46410
  • Facility Phone: 219 738-5500
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: BING ZHU
  • NPI Number: 1609825686
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2031682
LAB Type Health Fair
Facility Name METHODIST HOSPITALS OUTPATIENT CARDIAC
Street 753 E 81ST AVE, STE 4
City MERRILLVILLE
State IN
ZIP 46410
Phone 219 738-5500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Health Fair
Lab Director BING ZHU

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