15D0669812 CLIA NUMBER - RIVERVIEW HOSPITAL DBA COUNTRYSIDE MANOR & LIVING

Laboratory Demographics

  • CLIA Code: 15D0669812
  • Facility Name: RIVERVIEW HOSPITAL DBA COUNTRYSIDE MANOR & LIVING
  • Facility Address: 205 MARINE DRIVE
    ANDERSON, IN
    ZIP 46016
  • Facility Phone: 765 649-4558
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: WHITNEY CASTOR
  • NPI Number: 1366587966
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0669812
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RIVERVIEW HOSPITAL DBA COUNTRYSIDE MANOR & LIVING
Street 205 MARINE DRIVE
City ANDERSON
State IN
ZIP 46016
Phone 765 649-4558
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 WHITNEY CASTOR

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