15D0931021 CLIA NUMBER - RUSH MEM HOSPITAL DBA FLATROCK RIVER LODGE

Laboratory Demographics

  • CLIA Code: 15D0931021
  • Facility Name: RUSH MEM HOSPITAL DBA FLATROCK RIVER LODGE
  • Facility Address: 904 E 11TH ST
    RUSHVILLE, IN
    ZIP 46173
  • Facility Phone: 765 932-2974
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: HEATHER FOWLER
  • NPI Number: 1053671255
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0931021
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RUSH MEM HOSPITAL DBA FLATROCK RIVER LODGE
Street 904 E 11TH ST
City RUSHVILLE
State IN
ZIP 46173
Phone 765 932-2974
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director HEATHER FOWLER

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