15D1046842 CLIA NUMBER - CHARLES FORD MEMORIAL HOME, THE

Laboratory Demographics

  • CLIA Code: 15D1046842
  • Facility Name: CHARLES FORD MEMORIAL HOME, THE
  • Facility Address: 920 S MAIN ST
    NEW HARMONY, IN
    ZIP 47631
  • Facility Phone: 812 682-4675
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JOSEPH MATTHEW LEE
  • NPI Number: 1215630041
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 15D1046842
LAB Type Assisted Living Facility
Facility Name CHARLES FORD MEMORIAL HOME, THE
Street 920 S MAIN ST
City NEW HARMONY
State IN
ZIP 47631
Phone 812 682-4675
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Assisted Living Facility
Lab Director JOSEPH MATTHEW LEE

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