15D2281300 CLIA NUMBER - NOAH'S ARK PEDIATRICS

Laboratory Demographics

  • CLIA Code: 15D2281300
  • Facility Name: NOAH'S ARK PEDIATRICS
  • Facility Address: 1610 CALUMET AVE, SUITE B
    VALPARAISO, IN
    ZIP 46383
  • Facility Phone: (219) 462-4655
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID J. DIMITROFF
  • NPI Number: 1336843051
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 15D2281300
LAB Type Physician Office
Facility Name NOAH'S ARK PEDIATRICS
Street 1610 CALUMET AVE, SUITE B
City VALPARAISO
State IN
ZIP 46383
Phone 2194624655
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Physician Office
Lab Director DAVID J. DIMITROFF

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This page was last updated on: 5/15/2026