15D0355690 CLIA NUMBER - BRICKYARD HEALTHCARE - LAPORTE CARE CENTER

Laboratory Demographics

  • CLIA Code: 15D0355690
  • Facility Name: BRICKYARD HEALTHCARE - LAPORTE CARE CENTER
  • Facility Address: 1700 I ST
    LA PORTE, IN
    ZIP 46350
  • Facility Phone: 219 362-6234
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KELLY M. BRADFORD
  • NPI Number: 1093985814
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0355690
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BRICKYARD HEALTHCARE - LAPORTE CARE CENTER
Street 1700 I ST
City LA PORTE
State IN
ZIP 46350
Phone 219 362-6234
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 KELLY M. BRADFORD

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