15D0358719 CLIA NUMBER - CENTURY VILLA HEALTH CARE

Laboratory Demographics

  • CLIA Code: 15D0358719
  • Facility Name: CENTURY VILLA HEALTH CARE
  • Facility Address: 705 N MERIDIAN ST
    GREENTOWN, IN
    ZIP 46936
  • Facility Phone: 765 628-3377
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL W. GERIG
  • NPI Number: 1225068232
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0358719
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CENTURY VILLA HEALTH CARE
Street 705 N MERIDIAN ST
City GREENTOWN
State IN
ZIP 46936
Phone 765 628-3377
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 MICHAEL W. GERIG

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