15D0958643 CLIA NUMBER - MAJESTIC CARE OF NORTH VERNON

Laboratory Demographics

  • CLIA Code: 15D0958643
  • Facility Name: MAJESTIC CARE OF NORTH VERNON
  • Facility Address: 701 HENRY ST
    NORTH VERNON, IN
    ZIP 47265
  • Facility Phone: 812 346-9333
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOAN COOK
  • NPI Number: 1497792345
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0958643
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MAJESTIC CARE OF NORTH VERNON
Street 701 HENRY ST
City NORTH VERNON
State IN
ZIP 47265
Phone 812 346-9333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JOAN COOK

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