15D0954682 CLIA NUMBER - OWEN VALLEY REHABILITATION AND HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 15D0954682
  • Facility Name: OWEN VALLEY REHABILITATION AND HEALTHCARE CENTER
  • Facility Address: 920 W STATE HWY 46
    SPENCER, IN
    ZIP 47460
  • Facility Phone: 812 829-2331
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KIMBERLY SHAY
  • NPI Number: 1467555748
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0954682
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OWEN VALLEY REHABILITATION AND HEALTHCARE CENTER
Street 920 W STATE HWY 46
City SPENCER
State IN
ZIP 47460
Phone 812 829-2331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2024
Certificate Expiration Date 12/4/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KIMBERLY SHAY

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