15D1080965 CLIA NUMBER - MAPLE MANOR CHRISTAIN HOME, INC

Laboratory Demographics

  • CLIA Code: 15D1080965
  • Facility Name: MAPLE MANOR CHRISTAIN HOME, INC
  • Facility Address: 643 W UTICA ST
    SELLERSBURG, IN
    ZIP 47172
  • Facility Phone: 812 246-4866
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: STEVEN CUNNINGHAM
  • NPI Number: 1124494760
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D1080965
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MAPLE MANOR CHRISTAIN HOME, INC
Street 643 W UTICA ST
City SELLERSBURG
State IN
ZIP 47172
Phone 812 246-4866
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director STEVEN CUNNINGHAM

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