15D0362353 CLIA NUMBER - WITHAM MEMORIAL HOSP DBA CUMBERLAND POINTE HC

Laboratory Demographics

  • CLIA Code: 15D0362353
  • Facility Name: WITHAM MEMORIAL HOSP DBA CUMBERLAND POINTE HC
  • Facility Address: 1051 CUMBERLAND AVE
    WEST LAFAYETTE, IN
    ZIP 47906
  • Facility Phone: 765 463-2571
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SUSIE PORTERFIELD
  • NPI Number: 1477798908
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0362353
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WITHAM MEMORIAL HOSP DBA CUMBERLAND POINTE HC
Street 1051 CUMBERLAND AVE
City WEST LAFAYETTE
State IN
ZIP 47906
Phone 765 463-2571
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 SUSIE PORTERFIELD

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