15D0671467 CLIA NUMBER - INDIANA VETERANS HOME

Laboratory Demographics

  • CLIA Code: 15D0671467
  • Facility Name: INDIANA VETERANS HOME
  • Facility Address: 3851 N RIVER RD
    WEST LAFAYETTE, IN
    ZIP 47906
  • Facility Phone: 765 463-1502
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DANIEL ANZALDUA
  • NPI Number: 1194778001
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0671467
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name INDIANA VETERANS HOME
Street 3851 N RIVER RD
City WEST LAFAYETTE
State IN
ZIP 47906
Phone 765 463-1502
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 DANIEL ANZALDUA

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