15D2036781 CLIA NUMBER - ELKHART DAY SURGERY, LLC

Laboratory Demographics

  • CLIA Code: 15D2036781
  • Facility Name: ELKHART DAY SURGERY, LLC
  • Facility Address: 2746 OLD US HWY 20 W
    ELKHART, IN
    ZIP 46514
  • Facility Phone: 574 293-3545
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RICHARD C. BOLING
  • NPI Number: 1750668190
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2036781
LAB Type Ambulatory Surgery Center
Facility Name ELKHART DAY SURGERY, LLC
Street 2746 OLD US HWY 20 W
City ELKHART
State IN
ZIP 46514
Phone 574 293-3545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Ambulatory Surgery Center
Lab Director RICHARD C. BOLING

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