15D0647311 CLIA NUMBER - LIFE CARE CENTER OF MICHIGAN CITY

Laboratory Demographics

  • CLIA Code: 15D0647311
  • Facility Name: LIFE CARE CENTER OF MICHIGAN CITY
  • Facility Address: 802 US HIGHWAY 20 EAST
    MICHIGAN CITY, IN
    ZIP 46360
  • Facility Phone: 219 872-7251
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHRISTINE BIRDSONG
  • NPI Number: 1982651782
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0647311
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LIFE CARE CENTER OF MICHIGAN CITY
Street 802 US HIGHWAY 20 EAST
City MICHIGAN CITY
State IN
ZIP 46360
Phone 219 872-7251
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 CHRISTINE BIRDSONG

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