15D0858735 CLIA NUMBER - LIFE CARE CENTER OF LAGRANGE

Laboratory Demographics

  • CLIA Code: 15D0858735
  • Facility Name: LIFE CARE CENTER OF LAGRANGE
  • Facility Address: 770 NORTH 75 EAST
    LAGRANGE, IN
    ZIP 46761
  • Facility Phone: 219 463-7445
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MOLLY HARKER
  • NPI Number: 1710934518
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0858735
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LIFE CARE CENTER OF LAGRANGE
Street 770 NORTH 75 EAST
City LAGRANGE
State IN
ZIP 46761
Phone 219 463-7445
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 MOLLY HARKER

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