15D0669057 CLIA NUMBER - MAJESTIC CARE OF TERRE HAUTE

Laboratory Demographics

  • CLIA Code: 15D0669057
  • Facility Name: MAJESTIC CARE OF TERRE HAUTE
  • Facility Address: 3150 N 7TH ST
    TERRE HAUTE, IN
    ZIP 47804
  • Facility Phone: 812 466-5217
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TAMMY PUPILLI
  • NPI Number: 1386640886
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0669057
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MAJESTIC CARE OF TERRE HAUTE
Street 3150 N 7TH ST
City TERRE HAUTE
State IN
ZIP 47804
Phone 812 466-5217
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 TAMMY PUPILLI

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