15D2190059 CLIA NUMBER - CULVER PEDIATRICS CENTER

Laboratory Demographics

  • CLIA Code: 15D2190059
  • Facility Name: CULVER PEDIATRICS CENTER
  • Facility Address: 16427 18TH RD
    CULVER, IN
    ZIP 46511
  • Facility Phone: 219 250-8120
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NOEMI ADAME
  • NPI Number: 1295358265
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 15D2190059
LAB Type Physician Office
Facility Name CULVER PEDIATRICS CENTER
Street 16427 18TH RD
City CULVER
State IN
ZIP 46511
Phone 219 250-8120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Physician Office
Lab Director NOEMI ADAME

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