15D2096038 CLIA NUMBER - RESCARE INDIANAPOLIS-ICF CORE OFC

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Field Name	Field Value
CLIA Number	15D2096038
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	RESCARE INDIANAPOLIS-ICF CORE OFC
Street	8041 KNUE RD
City	INDIANAPOLIS
State	IN
ZIP	46250
Phone	317 570-5903
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	5/14/2025
Certificate Expiration Date	5/13/2027
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	JEFF RUBIN

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