15D2076195 CLIA NUMBER - HOMETOWN HOME HEALTHCARE, INC

Laboratory Demographics

  • CLIA Code: 15D2076195
  • Facility Name: HOMETOWN HOME HEALTHCARE, INC
  • Facility Address: 302 E N B ST
    GAS CITY, IN
    ZIP 46933
  • Facility Phone: 765 289-7740
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MITCHELL E. WEAVER
  • NPI Number: 1427506229
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 15D2076195
LAB Type Home Health Agency
Facility Name HOMETOWN HOME HEALTHCARE, INC
Street 302 E N B ST
City GAS CITY
State IN
ZIP 46933
Phone 765 289-7740
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2024
Certificate Expiration Date 4/13/2026
Facility Type Home Health Agency
Lab Director MITCHELL E. WEAVER

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