15D2122248 CLIA NUMBER - ADAPTIVE HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 15D2122248
  • Facility Name: ADAPTIVE HOSPICE, LLC
  • Facility Address: 2916 PEACH BLOSSOM DRIVE, SUITE 106
    JEFFERSONVILLE, IN
    ZIP 47130
  • Facility Phone: 812 590-1575
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: WILLIAM C. THOMAS
  • NPI Number: 1093260697
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 15D2122248
LAB Type Hospice
Facility Name ADAPTIVE HOSPICE, LLC
Street 2916 PEACH BLOSSOM DRIVE, SUITE 106
City JEFFERSONVILLE
State IN
ZIP 47130
Phone 812 590-1575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2024
Certificate Expiration Date 11/21/2026
Facility Type Hospice
Lab Director WILLIAM C. THOMAS

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