15D2008816 CLIA NUMBER - A ROSIE PLACE

Laboratory Demographics

  • CLIA Code: 15D2008816
  • Facility Name: A ROSIE PLACE
  • Facility Address: 53131 QUINCE RD
    SOUTH BEND, IN
    ZIP 46628
  • Facility Phone: 574 235-8899
  • Facility Type: Other - SHORT TERM RESPITE HOS FO
  • Facility Type: Waiver
  • Lab Director: MICHAELEEN CONLEE
  • NPI Number: 1720374374
  • Taxonomy: 284300000X - Special Hospital

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CLIA Record

Field Name Field Value
CLIA Number 15D2008816
LAB Type Other - SHORT TERM RESPITE HOS FO
Facility Name A ROSIE PLACE
Street 53131 QUINCE RD
City SOUTH BEND
State IN
ZIP 46628
Phone 574 235-8899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type Other - SHORT TERM RESPITE HOS FO
Lab Director MICHAELEEN CONLEE

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