15D2056200 CLIA NUMBER - ELITE DIAGNOSTICS, LLC

Laboratory Demographics

  • CLIA Code: 15D2056200
  • Facility Name: ELITE DIAGNOSTICS, LLC
  • Facility Address: 10996 FOUR SEASONS PL, SUITE 100 A
    CROWN POINT, IN
    ZIP 46307
  • Facility Phone: 888 339-7339
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. ANDREA R. TERRELL
  • NPI Number: 1467852350
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 15D2056200
LAB Type Independent
Facility Name ELITE DIAGNOSTICS, LLC
Street 10996 FOUR SEASONS PL, SUITE 100 A
City CROWN POINT
State IN
ZIP 46307
Phone 888 339-7339
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Independent
Lab Director DR. ANDREA R. TERRELL

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