15D2031309 CLIA NUMBER - LIFESTYLES HOMECARE, LLC

Laboratory Demographics

  • CLIA Code: 15D2031309
  • Facility Name: LIFESTYLES HOMECARE, LLC
  • Facility Address: 107 FEDERAL DR
    CHESTERFIELD, IN
    ZIP 46017
  • Facility Phone: 765 378-0855
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: AMY R. MOORE
  • NPI Number: 1558637108
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 15D2031309
LAB Type Home Health Agency
Facility Name LIFESTYLES HOMECARE, LLC
Street 107 FEDERAL DR
City CHESTERFIELD
State IN
ZIP 46017
Phone 765 378-0855
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Home Health Agency
Lab Director AMY R. MOORE

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