15D2072101 CLIA NUMBER - CENTER FOR MINIMALLY INVASIVE SURGERY, THE

Laboratory Demographics

  • CLIA Code: 15D2072101
  • Facility Name: CENTER FOR MINIMALLY INVASIVE SURGERY, THE
  • Facility Address: 9200 CALUMET AVE, STE S200
    MUNSTER, IN
    ZIP 46321
  • Facility Phone: 219 961-9621
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHELLE CORNER
  • NPI Number: 1073564605
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2072101
LAB Type Ambulatory Surgery Center
Facility Name CENTER FOR MINIMALLY INVASIVE SURGERY, THE
Street 9200 CALUMET AVE, STE S200
City MUNSTER
State IN
ZIP 46321
Phone 219 961-9621
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2024
Certificate Expiration Date 1/23/2026
Facility Type Ambulatory Surgery Center
Lab Director MICHELLE CORNER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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