15D0698590 CLIA NUMBER - RIVERVIEW HOSP DBA ROLLING MEADOWS HEALTH CARE CTR

Laboratory Demographics

  • CLIA Code: 15D0698590
  • Facility Name: RIVERVIEW HOSP DBA ROLLING MEADOWS HEALTH CARE CTR
  • Facility Address: 604 RENNAKER ST
    LA FONTAINE, IN
    ZIP 46940
  • Facility Phone: 765 981-2081
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SHANE NEVERS
  • NPI Number: 1568579993
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0698590
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RIVERVIEW HOSP DBA ROLLING MEADOWS HEALTH CARE CTR
Street 604 RENNAKER ST
City LA FONTAINE
State IN
ZIP 46940
Phone 765 981-2081
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 SHANE NEVERS

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