15D0357225 CLIA NUMBER - HEALTH & HOSP CORP OF MARION CO, THE D/B/A TRAILPOINT VILLAGE

Laboratory Demographics

  • CLIA Code: 15D0357225
  • Facility Name: HEALTH & HOSP CORP OF MARION CO, THE D/B/A TRAILPOINT VILLAGE
  • Facility Address: 1950 RIDGEDALE RD
    SOUTH BEND, IN
    ZIP 46614
  • Facility Phone: 574 291-6722
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AMORETTE JACKSON
  • NPI Number: 1851965305
  • Taxonomy: 343900000X - Non-emergency Medical Transport (VAN)

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CLIA Record

Field Name Field Value
CLIA Number 15D0357225
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HEALTH & HOSP CORP OF MARION CO, THE D/B/A TRAILPOINT VILLAGE
Street 1950 RIDGEDALE RD
City SOUTH BEND
State IN
ZIP 46614
Phone 574 291-6722
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 AMORETTE JACKSON

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