15D2127862 CLIA NUMBER - COMMUNITY CARE NETWORK, INC

Laboratory Demographics

  • CLIA Code: 15D2127862
  • Facility Name: COMMUNITY CARE NETWORK, INC
  • Facility Address: 1001 MAIN ST, FL 2E
    DYER, IN
    ZIP 46311
  • Facility Phone: 219 703-2424
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANAND SHAH
  • NPI Number: 1144693177
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2127862
LAB Type Physician Office
Facility Name COMMUNITY CARE NETWORK, INC
Street 1001 MAIN ST, FL 2E
City DYER
State IN
ZIP 46311
Phone 219 703-2424
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Physician Office
Lab Director ANAND SHAH

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