15D1104159 CLIA NUMBER - AVIVA VALPARAISO

Laboratory Demographics

  • CLIA Code: 15D1104159
  • Facility Name: AVIVA VALPARAISO
  • Facility Address: 1300 VALE PARK RD
    VALPARAISO, IN
    ZIP 46383
  • Facility Phone: 219 531-2484
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DEBORAH L. ATSAS
  • NPI Number: 1780995860
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D1104159
LAB Type Assisted Living Facility
Facility Name AVIVA VALPARAISO
Street 1300 VALE PARK RD
City VALPARAISO
State IN
ZIP 46383
Phone 219 531-2484
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2025
Certificate Expiration Date 8/25/2027
Facility Type Assisted Living Facility
Lab Director DEBORAH L. ATSAS

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