15D2190715 CLIA NUMBER - BETTER LIFE MD PC

Laboratory Demographics

  • CLIA Code: 15D2190715
  • Facility Name: BETTER LIFE MD PC
  • Facility Address: 3325 WILLOWCREEK RD
    PORTAGE, IN
    ZIP 46368
  • Facility Phone: 312 933-0661
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OLUSOLA OLOWE
  • NPI Number: 1013534155
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 15D2190715
LAB Type Physician Office
Facility Name BETTER LIFE MD PC
Street 3325 WILLOWCREEK RD
City PORTAGE
State IN
ZIP 46368
Phone 312 933-0661
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Physician Office
Lab Director OLUSOLA OLOWE

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