15D0357490 CLIA NUMBER - HOLY CROSS REHABILITATION AND WELLNESS

Laboratory Demographics

  • CLIA Code: 15D0357490
  • Facility Name: HOLY CROSS REHABILITATION AND WELLNESS
  • Facility Address: 17475 DUGDALE DR
    SOUTH BEND, IN
    ZIP 46635
  • Facility Phone: 574 247-7500
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ROGER GARMENDIA
  • NPI Number: 1821185356
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0357490
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HOLY CROSS REHABILITATION AND WELLNESS
Street 17475 DUGDALE DR
City SOUTH BEND
State IN
ZIP 46635
Phone 574 247-7500
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 ROGER GARMENDIA

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