15D1057396 CLIA NUMBER - 1019 BELLE'S PLACE OF CRAWFORDSVILLE

Laboratory Demographics

  • CLIA Code: 15D1057396
  • Facility Name: 1019 BELLE'S PLACE OF CRAWFORDSVILLE
  • Facility Address: 100 BICKFORD LN
    CRAWFORDSVILLE, IN
    ZIP 47933
  • Facility Phone: 765 362-2000
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JORDAN KEELING
  • NPI Number: 1013450709
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D1057396
LAB Type Assisted Living Facility
Facility Name 1019 BELLE'S PLACE OF CRAWFORDSVILLE
Street 100 BICKFORD LN
City CRAWFORDSVILLE
State IN
ZIP 47933
Phone 765 362-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Assisted Living Facility
Lab Director JORDAN KEELING

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