15D2115688 CLIA NUMBER - 219 HEALTH NETWORK, INC

Laboratory Demographics

  • CLIA Code: 15D2115688
  • Facility Name: 219 HEALTH NETWORK, INC
  • Facility Address: 9126 COLUMBIA AVENUE
    MUNSTER, IN
    ZIP 46321
  • Facility Phone: 219 703-2408
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADIL ALAVI
  • NPI Number: 1861125932
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2115688
LAB Type Physician Office
Facility Name 219 HEALTH NETWORK, INC
Street 9126 COLUMBIA AVENUE
City MUNSTER
State IN
ZIP 46321
Phone 219 703-2408
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type Physician Office
Lab Director ADIL ALAVI

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