15D1002738 CLIA NUMBER - CARDINAL SERVICES, INC OF INDIANA

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CLIA Record

Field Name Field Value
CLIA Number 15D1002738
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name CARDINAL SERVICES, INC OF INDIANA
Street 504 N BAY DRIVE
City WARSAW
State IN
ZIP 46580
Phone 574 371-1374
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2025
Certificate Expiration Date 7/4/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director MATTHEW S. BOREN

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