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15D2245330 CLIA NUMBER - VITAL POINT MOBILE LAB SERVICES, LLC

Laboratory Demographics

CLIA Number: 15D2245330

Facility Name: VITAL POINT MOBILE LAB SERVICES, LLC

Facility Address:
611 MCKINLEY ST
GARY, IN
ZIP 46404
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Facility Phone Number: 708 277-9033

Facility Type: Mobile Laboratory

Certificate Type: Waiver
NPI Number: 1619632007

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 15D2245330
LAB Type Mobile Laboratory
Facility Name VITAL POINT MOBILE LAB SERVICES, LLC
Street 611 MCKINLEY ST
City GARY
State IN
ZIP 46404
Phone 708 277-9033
CertificateType 4
CertificateEffectiveDate 12/10/2023
CertificateExpirationDate 12/9/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024