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

Laboratory Demographics

  • CLIA Code: 15D2245330
  • Facility Name: VITAL POINT MOBILE LAB SERVICES, LLC
  • Facility Address: 611 MCKINLEY ST
    GARY, IN
    ZIP 46404
  • Facility Phone: 708 277-9033
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: ANTOINETTE L. TAYLOR
  • NPI Number: 1619632007
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Mobile Laboratory
Lab Director ANTOINETTE L. TAYLOR

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