15D2097131 CLIA NUMBER - BRIGHTSTAR OF LAKE CO INDIANA

Laboratory Demographics

  • CLIA Code: 15D2097131
  • Facility Name: BRIGHTSTAR OF LAKE CO INDIANA
  • Facility Address: 9521 INDIANAPOLIS BLVD, STE O
    HIGHLAND, IN
    ZIP 46322
  • Facility Phone: 219 924-0200
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TRACY L. OVERLA
  • NPI Number: 1437381894
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 15D2097131
LAB Type Home Health Agency
Facility Name BRIGHTSTAR OF LAKE CO INDIANA
Street 9521 INDIANAPOLIS BLVD, STE O
City HIGHLAND
State IN
ZIP 46322
Phone 219 924-0200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Home Health Agency
Lab Director TRACY L. OVERLA

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