15D0721673 CLIA NUMBER - RIVERVIEW HOSPITAL DBA PAOLI HEALTH & LIVING

Laboratory Demographics

  • CLIA Code: 15D0721673
  • Facility Name: RIVERVIEW HOSPITAL DBA PAOLI HEALTH & LIVING
  • Facility Address: 559 W LONGEST STREET
    PAOLI, IN
    ZIP 47454
  • Facility Phone: 812 723-2595
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AMBER SMITH
  • NPI Number: 1356316236
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0721673
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RIVERVIEW HOSPITAL DBA PAOLI HEALTH & LIVING
Street 559 W LONGEST STREET
City PAOLI
State IN
ZIP 47454
Phone 812 723-2595
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 AMBER SMITH

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