15D0721954 CLIA NUMBER - CLINICAL MANAGEMENT SERVICES, INC D/B/A CLINICAL HOME HEALTH CARE

Laboratory Demographics

  • CLIA Code: 15D0721954
  • Facility Name: CLINICAL MANAGEMENT SERVICES, INC D/B/A CLINICAL HOME HEALTH CARE
  • Facility Address: 610 NORTH HALLECK STREET
    DEMOTTE, IN
    ZIP 46310
  • Facility Phone: 219 987-3270
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CAROLYN J. KRAUSE
  • NPI Number: 1306898390
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 15D0721954
LAB Type Home Health Agency
Facility Name CLINICAL MANAGEMENT SERVICES, INC D/B/A CLINICAL HOME HEALTH CARE
Street 610 NORTH HALLECK STREET
City DEMOTTE
State IN
ZIP 46310
Phone 219 987-3270
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 Home Health Agency
Lab Director CAROLYN J. KRAUSE

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