15D2081196 CLIA NUMBER - STARLINE COMMUNITY SERVICES, INC

Laboratory Demographics

  • CLIA Code: 15D2081196
  • Facility Name: STARLINE COMMUNITY SERVICES, INC
  • Facility Address: 1909 ALTGELD ST
    SOUTH BEND, IN
    ZIP 46614
  • Facility Phone: 574 289-0031
  • Facility Type: Other - GLUCOMETER 2920X YEARLY
  • Facility Type: Waiver
  • Lab Director: CECILIA NDUNGU
  • NPI Number: 1245301068
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 15D2081196
LAB Type Other - GLUCOMETER 2920X YEARLY
Facility Name STARLINE COMMUNITY SERVICES, INC
Street 1909 ALTGELD ST
City SOUTH BEND
State IN
ZIP 46614
Phone 574 289-0031
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Other - GLUCOMETER 2920X YEARLY
Lab Director CECILIA NDUNGU

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