15D0362354 CLIA NUMBER - HERITAGE HEALTHCARE

Laboratory Demographics

  • CLIA Code: 15D0362354
  • Facility Name: HERITAGE HEALTHCARE
  • Facility Address: 3401 SOLDIERS HOME ROAD
    WEST LAFAYETTE, IN
    ZIP 47906
  • Facility Phone: 765 463-1541
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BRENDA LOCKARD
  • NPI Number: 1588611479
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0362354
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HERITAGE HEALTHCARE
Street 3401 SOLDIERS HOME ROAD
City WEST LAFAYETTE
State IN
ZIP 47906
Phone 765 463-1541
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 BRENDA LOCKARD

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