15D2302807 CLIA NUMBER - MIDWEST EXPRESS CARE 4, LLC

Laboratory Demographics

  • CLIA Code: 15D2302807
  • Facility Name: MIDWEST EXPRESS CARE 4, LLC
  • Facility Address: 6097 BROADWAY
    MERRILLVILLE, IN
    ZIP 46410
  • Facility Phone: 219 758-5152
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: DR. MICHELE KELLER
  • NPI Number: 1255178125
  • Taxonomy: 261QU0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2302807
LAB Type Other - URGENT CARE
Facility Name MIDWEST EXPRESS CARE 4, LLC
Street 6097 BROADWAY
City MERRILLVILLE
State IN
ZIP 46410
Phone 219 758-5152
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Other - URGENT CARE
Lab Director DR. MICHELE KELLER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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