15D1025501 CLIA NUMBER - PROFESSIONAL CARE HOME HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 15D1025501
  • Facility Name: PROFESSIONAL CARE HOME HEALTH SERVICES
  • Facility Address: 9721 PRAIRIE AVENUE
    HIGHLAND, IN
    ZIP 46322
  • Facility Phone: 219 922-8100
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MARICLAIRE A. SILVERMAN
  • NPI Number: 1891747986
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 15D1025501
LAB Type Home Health Agency
Facility Name PROFESSIONAL CARE HOME HEALTH SERVICES
Street 9721 PRAIRIE AVENUE
City HIGHLAND
State IN
ZIP 46322
Phone 219 922-8100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Home Health Agency
Lab Director MARICLAIRE A. SILVERMAN

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