15D2175710 CLIA NUMBER - FRANCISCAN LAKESHORE ASC, LLC

Laboratory Demographics

  • CLIA Code: 15D2175710
  • Facility Name: FRANCISCAN LAKESHORE ASC, LLC
  • Facility Address: 12800 MISSISSIPPI PARKWAY PAVILLION C
    CROWN POINT, IN
    ZIP 46307
  • Facility Phone: (219) 662-5560
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RYAN J. PLANK
  • NPI Number: 1144866781
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2175710
LAB Type Ambulatory Surgery Center
Facility Name FRANCISCAN LAKESHORE ASC, LLC
Street 12800 MISSISSIPPI PARKWAY PAVILLION C
City CROWN POINT
State IN
ZIP 46307
Phone 2196625560
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2025
Certificate Expiration Date 11/26/2027
Facility Type Ambulatory Surgery Center
Lab Director RYAN J. PLANK

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