15D0358883 CLIA NUMBER - COLONIAL OAKS HEALTH CARE CTR

Laboratory Demographics

  • CLIA Code: 15D0358883
  • Facility Name: COLONIAL OAKS HEALTH CARE CTR
  • Facility Address: 4725 S COLONIAL OAKS
    MARION, IN
    ZIP 46953
  • Facility Phone: 765 674-9791
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DIANA K. HARRIS
  • NPI Number: 1033225669
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0358883
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COLONIAL OAKS HEALTH CARE CTR
Street 4725 S COLONIAL OAKS
City MARION
State IN
ZIP 46953
Phone 765 674-9791
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DIANA K. HARRIS

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