15D2103913 CLIA NUMBER - PARKDALE CENTER

Laboratory Demographics

  • CLIA Code: 15D2103913
  • Facility Name: PARKDALE CENTER
  • Facility Address: 350 INDIAN BOUNDARY RD
    CHESTERTON, IN
    ZIP 46304
  • Facility Phone: 888 883-8433
  • Facility Type: Other - PHP -IOP
  • Facility Type: Waiver
  • Lab Director: DAVID CUMMINS
  • NPI Number: 1568834992
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2103913
LAB Type Other - PHP -IOP
Facility Name PARKDALE CENTER
Street 350 INDIAN BOUNDARY RD
City CHESTERTON
State IN
ZIP 46304
Phone 888 883-8433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2025
Certificate Expiration Date 10/21/2027
Facility Type Other - PHP -IOP
Lab Director DAVID CUMMINS

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