15D0725875 CLIA NUMBER - RENSSELAER CARE CENTER

Laboratory Demographics

  • CLIA Code: 15D0725875
  • Facility Name: RENSSELAER CARE CENTER
  • Facility Address: 1309 E GRACE ST
    RENSSELAER, IN
    ZIP 47978
  • Facility Phone: 219 866-4181
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SABRA J. COONS
  • NPI Number: 1366499428
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0725875
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RENSSELAER CARE CENTER
Street 1309 E GRACE ST
City RENSSELAER
State IN
ZIP 47978
Phone 219 866-4181
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 SABRA J. COONS

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