15D0647750 CLIA NUMBER - FREELANDVILLE COMMUNITY HOME

Laboratory Demographics

  • CLIA Code: 15D0647750
  • Facility Name: FREELANDVILLE COMMUNITY HOME
  • Facility Address: 310 W CARLISLE STREET, BOX 288
    FREELANDVILLE, IN
    ZIP 47535
  • Facility Phone: 812 328-2134
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ROBERT MAZE
  • NPI Number: 1942539051
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 15D0647750
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FREELANDVILLE COMMUNITY HOME
Street 310 W CARLISLE STREET, BOX 288
City FREELANDVILLE
State IN
ZIP 47535
Phone 812 328-2134
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 ROBERT MAZE

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