15D1080586 CLIA NUMBER - BELL OAKS PLACE

Laboratory Demographics

  • CLIA Code: 15D1080586
  • Facility Name: BELL OAKS PLACE
  • Facility Address: 4200 WYNTREE DR
    NEWBURGH, IN
    ZIP 47630
  • Facility Phone: 812 858-0488
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CATHY RUSSELBURG
  • NPI Number: 1104942663
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D1080586
LAB Type Assisted Living Facility
Facility Name BELL OAKS PLACE
Street 4200 WYNTREE DR
City NEWBURGH
State IN
ZIP 47630
Phone 812 858-0488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2024
Certificate Expiration Date 2/25/2026
Facility Type Assisted Living Facility
Lab Director CATHY RUSSELBURG

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