15D0361585 CLIA NUMBER - BRICKYARD HEALTHCARE - BRENTWOOD CARE CENTER

Laboratory Demographics

  • CLIA Code: 15D0361585
  • Facility Name: BRICKYARD HEALTHCARE - BRENTWOOD CARE CENTER
  • Facility Address: 30 E CHANDLER AVE
    EVANSVILLE, IN
    ZIP 47713
  • Facility Phone: 812 423-6019
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: WILLIAM A. BLUME
  • NPI Number: 1215989496
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0361585
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BRICKYARD HEALTHCARE - BRENTWOOD CARE CENTER
Street 30 E CHANDLER AVE
City EVANSVILLE
State IN
ZIP 47713
Phone 812 423-6019
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 WILLIAM A. BLUME

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