15D0669219 CLIA NUMBER - LAURELS OF DEKALB

Laboratory Demographics

  • CLIA Code: 15D0669219
  • Facility Name: LAURELS OF DEKALB
  • Facility Address: 520 W LIBERTY
    BUTLER, IN
    ZIP 46721
  • Facility Phone: 260 868-2164
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: EMILIO VAZQUEZ
  • NPI Number: 1538114848
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0669219
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LAURELS OF DEKALB
Street 520 W LIBERTY
City BUTLER
State IN
ZIP 46721
Phone 260 868-2164
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 EMILIO VAZQUEZ

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