15D2252627 CLIA NUMBER - TRANSITIONS CROWN POINT LLC

Laboratory Demographics

  • CLIA Code: 15D2252627
  • Facility Name: TRANSITIONS CROWN POINT LLC
  • Facility Address: 11035 BROADWAY SUITE F
    CROWN POINT, IN
    ZIP 46307
  • Facility Phone: 877 467-6880
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JOSE AGUSTI
  • NPI Number: 1306424262
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 15D2252627
LAB Type Hospice
Facility Name TRANSITIONS CROWN POINT LLC
Street 11035 BROADWAY SUITE F
City CROWN POINT
State IN
ZIP 46307
Phone 877 467-6880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Hospice
Lab Director JOSE AGUSTI

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