15D1053357 CLIA NUMBER - CENTER FOR HOSPICE AND PALLIATIVE CARE, INC, THE

Laboratory Demographics

  • CLIA Code: 15D1053357
  • Facility Name: CENTER FOR HOSPICE AND PALLIATIVE CARE, INC, THE
  • Facility Address: 501 COMFORT PLACE
    MISHAWAKA, IN
    ZIP 46545
  • Facility Phone: 574 243-3100
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: CHRISTINE MADLEM
  • NPI Number: 1700544509
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 15D1053357
LAB Type Hospice
Facility Name CENTER FOR HOSPICE AND PALLIATIVE CARE, INC, THE
Street 501 COMFORT PLACE
City MISHAWAKA
State IN
ZIP 46545
Phone 574 243-3100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2024
Certificate Expiration Date 4/20/2026
Facility Type Hospice
Lab Director CHRISTINE MADLEM

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