15D2274690 CLIA NUMBER - MUNSTER SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 15D2274690
  • Facility Name: MUNSTER SURGERY CENTER
  • Facility Address: 1950 45TH ST SUITE 101
    MUNSTER, IN
    ZIP 46321
  • Facility Phone: 219 235-3155
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MAHER W. FATTOUH
  • NPI Number: 1154959179
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2274690
LAB Type Ambulatory Surgery Center
Facility Name MUNSTER SURGERY CENTER
Street 1950 45TH ST SUITE 101
City MUNSTER
State IN
ZIP 46321
Phone 219 235-3155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Ambulatory Surgery Center
Lab Director MAHER W. FATTOUH

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