15D0671031 CLIA NUMBER - LIFE CARE CENTER OF THE WILLOWS

Laboratory Demographics

  • CLIA Code: 15D0671031
  • Facility Name: LIFE CARE CENTER OF THE WILLOWS
  • Facility Address: 1000 ELIZABETH DRIVE
    VALPARAISO, IN
    ZIP 46383
  • Facility Phone: 219 464-4858
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AMANDA SHIVELY
  • NPI Number: 1194772087
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0671031
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LIFE CARE CENTER OF THE WILLOWS
Street 1000 ELIZABETH DRIVE
City VALPARAISO
State IN
ZIP 46383
Phone 219 464-4858
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director AMANDA SHIVELY

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