15D0362081 CLIA NUMBER - HUTSON WOOD AT BRAZIL

Laboratory Demographics

  • CLIA Code: 15D0362081
  • Facility Name: HUTSON WOOD AT BRAZIL
  • Facility Address: 501 S MURPHY AVE
    BRAZIL, IN
    ZIP 47834
  • Facility Phone: 812 446-2636
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AMANDA DOWELL
  • NPI Number: 1235294075
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0362081
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HUTSON WOOD AT BRAZIL
Street 501 S MURPHY AVE
City BRAZIL
State IN
ZIP 47834
Phone 812 446-2636
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 AMANDA DOWELL

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