15D2245822 CLIA NUMBER - AB LAB & DIAGNOSTICS LLC

Laboratory Demographics

  • CLIA Code: 15D2245822
  • Facility Name: AB LAB & DIAGNOSTICS LLC
  • Facility Address: 5475 BROADWAY
    MERRILLVILLE, IN
    ZIP 46410
  • Facility Phone: 800 318-2900
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: BRITNEY BYNUM
  • NPI Number: 1710641907
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2245822
LAB Type Mobile Laboratory
Facility Name AB LAB & DIAGNOSTICS LLC
Street 5475 BROADWAY
City MERRILLVILLE
State IN
ZIP 46410
Phone 800 318-2900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type Mobile Laboratory
Lab Director BRITNEY BYNUM

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