15D0664219 CLIA NUMBER - MILLERS MERRY MANOR

Laboratory Demographics

  • CLIA Code: 15D0664219
  • Facility Name: MILLERS MERRY MANOR
  • Facility Address: 500 WALKERTON TR
    WALKERTON, IN
    ZIP 46574
  • Facility Phone: 219 586-3133
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DAWN MCVAY
  • NPI Number: 1780605824
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0664219
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MILLERS MERRY MANOR
Street 500 WALKERTON TR
City WALKERTON
State IN
ZIP 46574
Phone 219 586-3133
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 DAWN MCVAY

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