15D2111626 CLIA NUMBER - ACESO VISITING PHYSICIANS AND GERIATRIC CARE INC

Laboratory Demographics

  • CLIA Code: 15D2111626
  • Facility Name: ACESO VISITING PHYSICIANS AND GERIATRIC CARE INC
  • Facility Address: 300 N MAIN ST SUIT D
    CROWN POINT, IN
    ZIP 46307
  • Facility Phone: 219 663-4888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRISTINE M. TEODORI
  • NPI Number: 1982010690
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2111626
LAB Type Physician Office
Facility Name ACESO VISITING PHYSICIANS AND GERIATRIC CARE INC
Street 300 N MAIN ST SUIT D
City CROWN POINT
State IN
ZIP 46307
Phone 219 663-4888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Physician Office
Lab Director KRISTINE M. TEODORI

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