15D2132664 CLIA NUMBER - MIDWEST EXPRESS CARE 4, LLC

Laboratory Demographics

  • CLIA Code: 15D2132664
  • Facility Name: MIDWEST EXPRESS CARE 4, LLC
  • Facility Address: 31 E SIBLEY STREET SUITE A
    HAMMOND, IN
    ZIP 46320
  • Facility Phone: (219) 802-8800
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: DR. MICHELE KELLER
  • NPI Number: 1053890517
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2132664
LAB Type Other - URGENT CARE
Facility Name MIDWEST EXPRESS CARE 4, LLC
Street 31 E SIBLEY STREET SUITE A
City HAMMOND
State IN
ZIP 46320
Phone 2198028800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Other - URGENT CARE
Lab Director DR. MICHELE KELLER

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This page was last updated on: 5/18/2026