15D2260566 CLIA NUMBER - NORTHSHORE HEALTH CENTER - LAPORTE HIGH SCHOOL

Laboratory Demographics

  • CLIA Code: 15D2260566
  • Facility Name: NORTHSHORE HEALTH CENTER - LAPORTE HIGH SCHOOL
  • Facility Address: 602 F STREET
    LA PORTE, IN
    ZIP 46350
  • Facility Phone: (219) 763-8112
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: ANDI ARNAUTOVIC
  • NPI Number: 1023440526
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2260566
LAB Type Federally Qualified Health Center
Facility Name NORTHSHORE HEALTH CENTER - LAPORTE HIGH SCHOOL
Street 602 F STREET
City LA PORTE
State IN
ZIP 46350
Phone 2197638112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Federally Qualified Health Center
Lab Director ANDI ARNAUTOVIC

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This page was last updated on: 5/18/2026