15D0352416 CLIA NUMBER - MULBERRY HEALTH AND REHAB CTR

Laboratory Demographics

  • CLIA Code: 15D0352416
  • Facility Name: MULBERRY HEALTH AND REHAB CTR
  • Facility Address: 502 W JACKSON ST
    MULBERRY, IN
    ZIP 46058
  • Facility Phone: 765 296-2911
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARK A. WOLFSCHLAG
  • NPI Number: 1821334483
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0352416
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MULBERRY HEALTH AND REHAB CTR
Street 502 W JACKSON ST
City MULBERRY
State IN
ZIP 46058
Phone 765 296-2911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MARK A. WOLFSCHLAG

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