15D0664207 CLIA NUMBER - MILLERS HEALTH SYSTEMS INC DBA MILLERS MERRY MANOR

Laboratory Demographics

  • CLIA Code: 15D0664207
  • Facility Name: MILLERS HEALTH SYSTEMS INC DBA MILLERS MERRY MANOR
  • Facility Address: 1651 N CAMPBELL AVE
    INDIANAPOLIS, IN
    ZIP 46218
  • Facility Phone: 317 357-8040
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHARMAINE HOLTSCLAW
  • NPI Number: 1639192065
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0664207
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MILLERS HEALTH SYSTEMS INC DBA MILLERS MERRY MANOR
Street 1651 N CAMPBELL AVE
City INDIANAPOLIS
State IN
ZIP 46218
Phone 317 357-8040
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 CHARMAINE HOLTSCLAW

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