15D2210468 CLIA NUMBER - CROWN POINT SURGICAL SUITES, LLC

Laboratory Demographics

  • CLIA Code: 15D2210468
  • Facility Name: CROWN POINT SURGICAL SUITES, LLC
  • Facility Address: 11051 BROADWAY, SUITE B
    CROWN POINT, IN
    ZIP 46307
  • Facility Phone: 219 308-0193
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. NIKHIL PANDHI
  • NPI Number: 1255936761
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2210468
LAB Type Ambulatory Surgery Center
Facility Name CROWN POINT SURGICAL SUITES, LLC
Street 11051 BROADWAY, SUITE B
City CROWN POINT
State IN
ZIP 46307
Phone 219 308-0193
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. NIKHIL PANDHI

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