15D0355075 CLIA NUMBER - CHESTERTON MANOR

Laboratory Demographics

  • CLIA Code: 15D0355075
  • Facility Name: CHESTERTON MANOR
  • Facility Address: 110 BEVERLY DR
    CHESTERTON, IN
    ZIP 46304
  • Facility Phone: 219 926-8387
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CYNTHIA PODSIADLIK
  • NPI Number: 1437534872
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0355075
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CHESTERTON MANOR
Street 110 BEVERLY DR
City CHESTERTON
State IN
ZIP 46304
Phone 219 926-8387
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2025
Certificate Expiration Date 7/5/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CYNTHIA PODSIADLIK

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