15D2211366 CLIA NUMBER - TRADE WIND SERVICES INC

Laboratory Demographics

  • CLIA Code: 15D2211366
  • Facility Name: TRADE WIND SERVICES INC
  • Facility Address: 3198 E 83RD PLACE
    MERRILLVILLE, IN
    ZIP 46410
  • Facility Phone: 219 945-0100
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: LISA PREVIS
  • NPI Number: 1780778266
  • Taxonomy: 251C00000X - Day Training, Developmentally Disabled Services

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CLIA Record

Field Name Field Value
CLIA Number 15D2211366
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name TRADE WIND SERVICES INC
Street 3198 E 83RD PLACE
City MERRILLVILLE
State IN
ZIP 46410
Phone 219 945-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director LISA PREVIS

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