15D0358770 CLIA NUMBER - MILLER'S MERRY MANOR

Laboratory Demographics

  • CLIA Code: 15D0358770
  • Facility Name: MILLER'S MERRY MANOR
  • Facility Address: 200 26TH ST
    LOGANSPORT, IN
    ZIP 46947
  • Facility Phone: 574 722-4006
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JACKIE MURRAY
  • NPI Number: 1982627329
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0358770
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MILLER'S MERRY MANOR
Street 200 26TH ST
City LOGANSPORT
State IN
ZIP 46947
Phone 574 722-4006
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 JACKIE MURRAY

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