15D0362105 CLIA NUMBER - VERMILLION CONVALESCENT CENTER

Laboratory Demographics

  • CLIA Code: 15D0362105
  • Facility Name: VERMILLION CONVALESCENT CENTER
  • Facility Address: 1705 S MAIN ST
    CLINTON, IN
    ZIP 47842
  • Facility Phone: 765 832-3573
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MELISSA D. GUM
  • NPI Number: 1942372511
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D0362105
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name VERMILLION CONVALESCENT CENTER
Street 1705 S MAIN ST
City CLINTON
State IN
ZIP 47842
Phone 765 832-3573
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 MELISSA D. GUM

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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