15D2105824 CLIA NUMBER - RP WELLNESS CENTER MD INC

Laboratory Demographics

  • CLIA Code: 15D2105824
  • Facility Name: RP WELLNESS CENTER MD INC
  • Facility Address: 5490 BROADWAY, STE 106
    MERRILLVILLE, IN
    ZIP 46410
  • Facility Phone: 219 939-7130
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAKESH PARIKH
  • NPI Number: 1568858637
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2105824
LAB Type Physician Office
Facility Name RP WELLNESS CENTER MD INC
Street 5490 BROADWAY, STE 106
City MERRILLVILLE
State IN
ZIP 46410
Phone 219 939-7130
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Physician Office
Lab Director RAKESH PARIKH

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