15D0358759 CLIA NUMBER - CAMELOT CARE CENTER

Laboratory Demographics

  • CLIA Code: 15D0358759
  • Facility Name: CAMELOT CARE CENTER
  • Facility Address: 1555 COMMERCE ST
    LOGANSPORT, IN
    ZIP 46947
  • Facility Phone: 574 753-0404
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SAMANTHA D. BIDDLE
  • NPI Number: 1578630810
  • Taxonomy: 3140N1450X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0358759
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CAMELOT CARE CENTER
Street 1555 COMMERCE ST
City LOGANSPORT
State IN
ZIP 46947
Phone 574 753-0404
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 SAMANTHA D. BIDDLE

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