15D0353680 CLIA NUMBER - RURAL HEALTH CARE

Laboratory Demographics

  • CLIA Code: 15D0353680
  • Facility Name: RURAL HEALTH CARE
  • Facility Address: 1747 N RURAL
    INDIANAPOLIS, IN
    ZIP 46218
  • Facility Phone: 317 635-1355
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: LAURALEE LAWSON
  • NPI Number: 1265515266
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0353680
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name RURAL HEALTH CARE
Street 1747 N RURAL
City INDIANAPOLIS
State IN
ZIP 46218
Phone 317 635-1355
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 Intermediate Care Facility for Mentally Retarded
Lab Director LAURALEE LAWSON

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