15D2264013 CLIA NUMBER - GRANGER SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 15D2264013
  • Facility Name: GRANGER SURGERY CENTER
  • Facility Address: 51050 BITTERSWEET RD
    GRANGER, IN
    ZIP 46530
  • Facility Phone: 574 208-1612
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. BRAD SANDLER
  • NPI Number: 1215675111
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2264013
LAB Type Ambulatory Surgery Center
Facility Name GRANGER SURGERY CENTER
Street 51050 BITTERSWEET RD
City GRANGER
State IN
ZIP 46530
Phone 574 208-1612
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. BRAD SANDLER

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