15D0663186 CLIA NUMBER - BRICKYARD HEALTHCARE - PETERSBURG CARE CENTER

Laboratory Demographics

  • CLIA Code: 15D0663186
  • Facility Name: BRICKYARD HEALTHCARE - PETERSBURG CARE CENTER
  • Facility Address: 309 W PIKE AVE
    PETERSBURG, IN
    ZIP 47567
  • Facility Phone: 812 354-8833
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NATHANIAL D. GROW
  • NPI Number: 1770539546
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0663186
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BRICKYARD HEALTHCARE - PETERSBURG CARE CENTER
Street 309 W PIKE AVE
City PETERSBURG
State IN
ZIP 47567
Phone 812 354-8833
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 NATHANIAL D. GROW

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