15D2039553 CLIA NUMBER - INDEPENDENCE HOME HEALTH LLC

Laboratory Demographics

  • CLIA Code: 15D2039553
  • Facility Name: INDEPENDENCE HOME HEALTH LLC
  • Facility Address: 8282 S NINEVEH RD
    NINEVEH, IN
    ZIP 46164
  • Facility Phone: 317 933-3310
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DAVID A. RUTHERFORD
  • NPI Number: 1831808591
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 15D2039553
LAB Type Home Health Agency
Facility Name INDEPENDENCE HOME HEALTH LLC
Street 8282 S NINEVEH RD
City NINEVEH
State IN
ZIP 46164
Phone 317 933-3310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Home Health Agency
Lab Director DAVID A. RUTHERFORD

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