15D1058723 CLIA NUMBER - MUNCIE AL, LLC, D/B/A CEDAR CREEK OF MUNCIE

Laboratory Demographics

  • CLIA Code: 15D1058723
  • Facility Name: MUNCIE AL, LLC, D/B/A CEDAR CREEK OF MUNCIE
  • Facility Address: 2410 E MCGALLIARD ROAD
    MUNCIE, IN
    ZIP 47303
  • Facility Phone: 765 284-7670
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DIERDRE WILEY
  • NPI Number: 1033928494
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D1058723
LAB Type Assisted Living Facility
Facility Name MUNCIE AL, LLC, D/B/A CEDAR CREEK OF MUNCIE
Street 2410 E MCGALLIARD ROAD
City MUNCIE
State IN
ZIP 47303
Phone 765 284-7670
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Assisted Living Facility
Lab Director DIERDRE WILEY

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