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15D0988542 CLIA NUMBER - VA NORTHERN INDIANA HCS-MARION

Laboratory Demographics

CLIA Number: 15D0988542

Facility Name: VA NORTHERN INDIANA HCS-MARION

Facility Address:
1700 E 38TH ST BLDG 138 RM 224-230
MARION, IN
ZIP 46953
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Facility Phone Number: 765 677-3146

Facility Type: Hospital

Certificate Type: Accreditation
NPI Number: 1437339371

Taxonomy: 281P00000X - Chronic Disease Hospital
(1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes.

CLIA Record

Field Name Field Value
CLIA Number 15D0988542
LAB Type Hospital
Facility Name VA NORTHERN INDIANA HCS-MARION
Street 1700 E 38TH ST BLDG 138 RM 224-230
City MARION
State IN
ZIP 46953
Phone 765 677-3146
CertificateType 1
CertificateEffectiveDate 6/29/2001
CertificateExpirationDate 5/22/2026
FacilityType Accreditation

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