15D2150353 CLIA NUMBER - SMART PHYSICIAN SYSTEMS PC

Laboratory Demographics

  • CLIA Code: 15D2150353
  • Facility Name: SMART PHYSICIAN SYSTEMS PC
  • Facility Address: 10176 W 400 N, SUITE A
    MICHIGAN CITY, IN
    ZIP 46360
  • Facility Phone: 219 805-5333
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ARTHUR H. DSOUZA
  • NPI Number: 1023550183
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2150353
LAB Type Physician Office
Facility Name SMART PHYSICIAN SYSTEMS PC
Street 10176 W 400 N, SUITE A
City MICHIGAN CITY
State IN
ZIP 46360
Phone 219 805-5333
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Physician Office
Lab Director ARTHUR H. DSOUZA

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