15D0886011 CLIA NUMBER - REGIONAL MENTAL HEALTH CENTER

Laboratory Demographics

CLIA Number: 15D0886011

Facility Name: REGIONAL MENTAL HEALTH CENTER

Facility Address:
8555 TAFT ST (INPATIENT UNIT)
MERRILLVILLE, IN
ZIP 46410
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Facility Phone Number: 219 769-4005

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1508297540

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	15D0886011
LAB Type	Other
Facility Name	REGIONAL MENTAL HEALTH CENTER
Street	8555 TAFT ST (INPATIENT UNIT)
City	MERRILLVILLE
State	IN
ZIP	46410
Phone	219 769-4005
CertificateType	4
CertificateEffectiveDate	5/11/2022
CertificateExpirationDate	5/10/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024