15D0673016 CLIA NUMBER - BRICKYARD HEALTHCARE - CHURCHMAN CARE CENTER

Laboratory Demographics

  • CLIA Code: 15D0673016
  • Facility Name: BRICKYARD HEALTHCARE - CHURCHMAN CARE CENTER
  • Facility Address: 2860 CHURCHMAN AVE
    INDIANAPOLIS, IN
    ZIP 46203
  • Facility Phone: 317 787-3451
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHIJIOKE A. KALU
  • NPI Number: 1235185810
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0673016
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BRICKYARD HEALTHCARE - CHURCHMAN CARE CENTER
Street 2860 CHURCHMAN AVE
City INDIANAPOLIS
State IN
ZIP 46203
Phone 317 787-3451
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 CHIJIOKE A. KALU

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