15D0985712 CLIA NUMBER - BRENTWOOD AT HOBART

Laboratory Demographics

  • CLIA Code: 15D0985712
  • Facility Name: BRENTWOOD AT HOBART
  • Facility Address: 1420 ST MARY CIR
    HOBART, IN
    ZIP 46342
  • Facility Phone: 219 945-1968
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DEBRA WAZIAK
  • NPI Number: 1568799138
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0985712
LAB Type Assisted Living Facility
Facility Name BRENTWOOD AT HOBART
Street 1420 ST MARY CIR
City HOBART
State IN
ZIP 46342
Phone 219 945-1968
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Assisted Living Facility
Lab Director DEBRA WAZIAK

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