15D0647734 CLIA NUMBER - HOOSIER UPLANDS IN HOME SERVICES

Laboratory Demographics

  • CLIA Code: 15D0647734
  • Facility Name: HOOSIER UPLANDS IN HOME SERVICES
  • Facility Address: 500 W MAIN ST
    MITCHELL, IN
    ZIP 47446
  • Facility Phone: 812 849-4447
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MS. MELISSA JEREMIAH
  • NPI Number: 1801016597
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 15D0647734
LAB Type Home Health Agency
Facility Name HOOSIER UPLANDS IN HOME SERVICES
Street 500 W MAIN ST
City MITCHELL
State IN
ZIP 47446
Phone 812 849-4447
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 MS. MELISSA JEREMIAH

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