15D2168897 CLIA NUMBER - CROWN POINT IMMEDIATE CARE

Laboratory Demographics

  • CLIA Code: 15D2168897
  • Facility Name: CROWN POINT IMMEDIATE CARE
  • Facility Address: 10215 BROADWAY
    CROWN POINT, IN
    ZIP 46307
  • Facility Phone: 219 226-2256
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK A. FELDNER
  • NPI Number: 1023535523
  • Taxonomy: 152W00000X - Optometrist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2168897
LAB Type Physician Office
Facility Name CROWN POINT IMMEDIATE CARE
Street 10215 BROADWAY
City CROWN POINT
State IN
ZIP 46307
Phone 219 226-2256
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2025
Certificate Expiration Date 7/10/2027
Facility Type Physician Office
Lab Director MARK A. FELDNER

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