15D0679949 CLIA NUMBER - BRICKYARD HEALTHCARE - WILLOW SPRINGS CARE CENTER

Laboratory Demographics

  • CLIA Code: 15D0679949
  • Facility Name: BRICKYARD HEALTHCARE - WILLOW SPRINGS CARE CENTER
  • Facility Address: 2002 W 86TH ST
    INDIANAPOLIS, IN
    ZIP 46260
  • Facility Phone: 317 872-8811
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHRISTIAN MILLER
  • NPI Number: 1417903980
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0679949
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BRICKYARD HEALTHCARE - WILLOW SPRINGS CARE CENTER
Street 2002 W 86TH ST
City INDIANAPOLIS
State IN
ZIP 46260
Phone 317 872-8811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CHRISTIAN MILLER

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This page was last updated on: 3/20/2025