15D1107013 CLIA NUMBER - PHYSIOCARE HOME HEALTHCARE & HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 15D1107013
  • Facility Name: PHYSIOCARE HOME HEALTHCARE & HOSPICE LLC
  • Facility Address: 1440 INNOVATION PLACE
    WEST LAFAYETTE, IN
    ZIP 47906
  • Facility Phone: 765 838-1660
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MICHELE HUGHES
  • NPI Number: 1003433566
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 15D1107013
LAB Type Home Health Agency
Facility Name PHYSIOCARE HOME HEALTHCARE & HOSPICE LLC
Street 1440 INNOVATION PLACE
City WEST LAFAYETTE
State IN
ZIP 47906
Phone 765 838-1660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Home Health Agency
Lab Director MICHELE HUGHES

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