15D2289030 CLIA NUMBER - MIDWEST EXPRESS CARE 4, LLC

Laboratory Demographics

  • CLIA Code: 15D2289030
  • Facility Name: MIDWEST EXPRESS CARE 4, LLC
  • Facility Address: 7890 E RIDGE ROAD
    HOBART, IN
    ZIP 46342
  • Facility Phone: 219 788-1237
  • Facility Type: Other - URGENT CARE CLINIC
  • Facility Type: Waiver
  • Lab Director: DR. MICHELE KELLER
  • NPI Number: 1366221434
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2289030
LAB Type Other - URGENT CARE CLINIC
Facility Name MIDWEST EXPRESS CARE 4, LLC
Street 7890 E RIDGE ROAD
City HOBART
State IN
ZIP 46342
Phone 219 788-1237
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Other - URGENT CARE CLINIC
Lab Director DR. MICHELE KELLER

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