15D1093497 CLIA NUMBER - LOVING CARE AGENCY, INC D/B/A AVEANNA HEALTHCARE

Laboratory Demographics

  • CLIA Code: 15D1093497
  • Facility Name: LOVING CARE AGENCY, INC D/B/A AVEANNA HEALTHCARE
  • Facility Address: 8585 BROADWAY SUITE 700
    MERRILLVILLE, IN
    ZIP 46410
  • Facility Phone: 219 548-0099
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: NANNETTE PHILLIPS
  • NPI Number: 1801128772
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 15D1093497
LAB Type Home Health Agency
Facility Name LOVING CARE AGENCY, INC D/B/A AVEANNA HEALTHCARE
Street 8585 BROADWAY SUITE 700
City MERRILLVILLE
State IN
ZIP 46410
Phone 219 548-0099
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Home Health Agency
Lab Director NANNETTE PHILLIPS

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