15D0663064 CLIA NUMBER - RIVERVIEW HOSP/ DBA MASON HEALTH CARE CTR

Laboratory Demographics

  • CLIA Code: 15D0663064
  • Facility Name: RIVERVIEW HOSP/ DBA MASON HEALTH CARE CTR
  • Facility Address: 900 PROVIDENT DR
    WARSAW, IN
    ZIP 46580
  • Facility Phone: 574 371-2500
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LILLIAN HORTON
  • NPI Number: 1184731655
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0663064
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RIVERVIEW HOSP/ DBA MASON HEALTH CARE CTR
Street 900 PROVIDENT DR
City WARSAW
State IN
ZIP 46580
Phone 574 371-2500
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 LILLIAN HORTON

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