15D1038078 CLIA NUMBER - FIVE STAR RESIDENCES OF NOBLESVILLE

Laboratory Demographics

  • CLIA Code: 15D1038078
  • Facility Name: FIVE STAR RESIDENCES OF NOBLESVILLE
  • Facility Address: 7235 RIVERWALK WAY N
    NOBLESVILLE, IN
    ZIP 46062
  • Facility Phone: 317 770-0011
  • Facility Type: Other - RESIDENTIAL CARE FACIL
  • Facility Type: Waiver
  • Lab Director: JANICE A. PEGUES
  • NPI Number: 1932274438
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D1038078
LAB Type Other - RESIDENTIAL CARE FACIL
Facility Name FIVE STAR RESIDENCES OF NOBLESVILLE
Street 7235 RIVERWALK WAY N
City NOBLESVILLE
State IN
ZIP 46062
Phone 317 770-0011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2025
Certificate Expiration Date 3/9/2027
Facility Type Other - RESIDENTIAL CARE FACIL
Lab Director JANICE A. PEGUES

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