15D0670906 CLIA NUMBER - BRICKYARD HEALTHCARE - MERRILLVILLE CARE CENTER

Laboratory Demographics

  • CLIA Code: 15D0670906
  • Facility Name: BRICKYARD HEALTHCARE - MERRILLVILLE CARE CENTER
  • Facility Address: 8800 VIRGINIA PL
    MERRILLVILLE, IN
    ZIP 46410
  • Facility Phone: 219 736-1310
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. TEOFILO S. VINLUAN JR
  • NPI Number: 1891965620
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0670906
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BRICKYARD HEALTHCARE - MERRILLVILLE CARE CENTER
Street 8800 VIRGINIA PL
City MERRILLVILLE
State IN
ZIP 46410
Phone 219 736-1310
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 DR. TEOFILO S. VINLUAN JR

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