15D0352954 CLIA NUMBER - MILLER'S MERRY MANOR

Laboratory Demographics

  • CLIA Code: 15D0352954
  • Facility Name: MILLER'S MERRY MANOR
  • Facility Address: 259 W HARRISON
    MOORESVILLE, IN
    ZIP 46158
  • Facility Phone: 317 831-6272
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CASSANDRA BONHAM
  • NPI Number: 1760403802
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0352954
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MILLER'S MERRY MANOR
Street 259 W HARRISON
City MOORESVILLE
State IN
ZIP 46158
Phone 317 831-6272
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 CASSANDRA BONHAM

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