15D2246950 CLIA NUMBER - DUNE GRASS SURGICAL SUITES, LLC

Laboratory Demographics

  • CLIA Code: 15D2246950
  • Facility Name: DUNE GRASS SURGICAL SUITES, LLC
  • Facility Address: 505 PINTAIL TRACE
    CHESTERTON, IN
    ZIP 46304
  • Facility Phone: 219 799-2029
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BRIAN FORSYTHE
  • NPI Number: 1033876438
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2246950
LAB Type Ambulatory Surgery Center
Facility Name DUNE GRASS SURGICAL SUITES, LLC
Street 505 PINTAIL TRACE
City CHESTERTON
State IN
ZIP 46304
Phone 219 799-2029
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type Ambulatory Surgery Center
Lab Director BRIAN FORSYTHE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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