15D0877302 CLIA NUMBER - VERNON MANOR CHILDREN'S HOME

Laboratory Demographics

  • CLIA Code: 15D0877302
  • Facility Name: VERNON MANOR CHILDREN'S HOME
  • Facility Address: 1955 VERNON ST
    WABASH, IN
    ZIP 46992
  • Facility Phone: 260 563-8438
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TANGIE JENKINS
  • NPI Number: 1316932874
  • Taxonomy: 3140N1450X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0877302
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name VERNON MANOR CHILDREN'S HOME
Street 1955 VERNON ST
City WABASH
State IN
ZIP 46992
Phone 260 563-8438
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TANGIE JENKINS

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