15D0360204 CLIA NUMBER - MAJESTIC CARE OF CONNERSVILLE

Laboratory Demographics

  • CLIA Code: 15D0360204
  • Facility Name: MAJESTIC CARE OF CONNERSVILLE
  • Facility Address: 1029 E 5TH
    CONNERSVILLE, IN
    ZIP 47331
  • Facility Phone: 765 825-0543
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JAY KROFT
  • NPI Number: 1053358960
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0360204
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MAJESTIC CARE OF CONNERSVILLE
Street 1029 E 5TH
City CONNERSVILLE
State IN
ZIP 47331
Phone 765 825-0543
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 JAY KROFT

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