15D0647343 CLIA NUMBER - RESIDENTIAL CLINICAL SERVICES INC

Laboratory Demographics

  • CLIA Code: 15D0647343
  • Facility Name: RESIDENTIAL CLINICAL SERVICES INC
  • Facility Address: 8102 GEORGIA STREET
    MERRILLVILLE, IN
    ZIP 46410
  • Facility Phone: 219 736-5718
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JOI WATSON
  • NPI Number: 1376549410
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 15D0647343
LAB Type Home Health Agency
Facility Name RESIDENTIAL CLINICAL SERVICES INC
Street 8102 GEORGIA STREET
City MERRILLVILLE
State IN
ZIP 46410
Phone 219 736-5718
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 Home Health Agency
Lab Director JOI WATSON

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