15D0647138 CLIA NUMBER - ESPECIALLY KIDZ HEALTH & REHAB

Laboratory Demographics

  • CLIA Code: 15D0647138
  • Facility Name: ESPECIALLY KIDZ HEALTH & REHAB
  • Facility Address: 2325 S MILLER ST
    SHELBYVILLE, IN
    ZIP 46176
  • Facility Phone: 317 392-3287
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DAWN WENDEL
  • NPI Number: 1801963053
  • Taxonomy: 3140N1450X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0647138
LAB Type Federally Qualified Health Center
Facility Name ESPECIALLY KIDZ HEALTH & REHAB
Street 2325 S MILLER ST
City SHELBYVILLE
State IN
ZIP 46176
Phone 317 392-3287
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 Federally Qualified Health Center
Lab Director DAWN WENDEL

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