15D2050329 CLIA NUMBER - MARCOTTE MEDICAL GROUP PC

Laboratory Demographics

  • CLIA Code: 15D2050329
  • Facility Name: MARCOTTE MEDICAL GROUP PC
  • Facility Address: 16000 W 101ST AVE
    DYER, IN
    ZIP 46311
  • Facility Phone: 219 365-6333
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. TREVOR MARCOTTE
  • NPI Number: 1669424768
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2050329
LAB Type Physician Office
Facility Name MARCOTTE MEDICAL GROUP PC
Street 16000 W 101ST AVE
City DYER
State IN
ZIP 46311
Phone 219 365-6333
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Physician Office
Lab Director DR. TREVOR MARCOTTE

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