15D2163219 CLIA NUMBER - HONOR PHYSICIANS LLC DBA ADVANCED INTERNAL MEDICINE OF MICHIANA

Laboratory Demographics

  • CLIA Code: 15D2163219
  • Facility Name: HONOR PHYSICIANS LLC DBA ADVANCED INTERNAL MEDICINE OF MICHIANA
  • Facility Address: 3809 NORTH MAIN STREET, SUITE 100
    MISHAWAKA, IN
    ZIP 46545
  • Facility Phone: 574 520-1700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAHAN HUSSEIN AL-FADHL
  • NPI Number: 1194288860
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2163219
LAB Type Physician Office
Facility Name HONOR PHYSICIANS LLC DBA ADVANCED INTERNAL MEDICINE OF MICHIANA
Street 3809 NORTH MAIN STREET, SUITE 100
City MISHAWAKA
State IN
ZIP 46545
Phone 574 520-1700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Physician Office
Lab Director DAHAN HUSSEIN AL-FADHL

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