15D2114780 CLIA NUMBER - METHODIST PHY GRP CROWN PT SPORTS-PLEX

Laboratory Demographics

  • CLIA Code: 15D2114780
  • Facility Name: METHODIST PHY GRP CROWN PT SPORTS-PLEX
  • Facility Address: 1275 E NORTH ST
    CROWN POINT, IN
    ZIP 46307
  • Facility Phone: 219 757-7514
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL A. LINTON
  • NPI Number: 1518295948
  • Taxonomy: 207X00000X - Orthopaedic Surgery

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2114780
LAB Type Physician Office
Facility Name METHODIST PHY GRP CROWN PT SPORTS-PLEX
Street 1275 E NORTH ST
City CROWN POINT
State IN
ZIP 46307
Phone 219 757-7514
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Physician Office
Lab Director MICHAEL A. LINTON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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