15D0679877 CLIA NUMBER - PINE KNOLL ASSISTED LIVING CENTER

Laboratory Demographics

  • CLIA Code: 15D0679877
  • Facility Name: PINE KNOLL ASSISTED LIVING CENTER
  • Facility Address: 607 WILSON CREEK RD
    LAWRENCEBURG, IN
    ZIP 47025
  • Facility Phone: 812 537-4422
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: LORI POE
  • NPI Number: 1942348198
  • Taxonomy: 302F00000X - Exclusive Provider Organization

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CLIA Record

Field Name Field Value
CLIA Number 15D0679877
LAB Type Other
Facility Name PINE KNOLL ASSISTED LIVING CENTER
Street 607 WILSON CREEK RD
City LAWRENCEBURG
State IN
ZIP 47025
Phone 812 537-4422
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 Other
Lab Director LORI POE

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