15D0356889 CLIA NUMBER - HAMILTON GROVE

Laboratory Demographics

  • CLIA Code: 15D0356889
  • Facility Name: HAMILTON GROVE
  • Facility Address: 31869 CHICAGO TRAIL
    NEW CARLISLE, IN
    ZIP 46552
  • Facility Phone: 574 654-2200
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KIMBERLY L. TORMA
  • NPI Number: 1730174434
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0356889
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HAMILTON GROVE
Street 31869 CHICAGO TRAIL
City NEW CARLISLE
State IN
ZIP 46552
Phone 574 654-2200
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 KIMBERLY L. TORMA

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This page was last updated on: 6/4/2025