15D2137513 CLIA NUMBER - BELVEDERE SENIOR HOUSING

Laboratory Demographics

  • CLIA Code: 15D2137513
  • Facility Name: BELVEDERE SENIOR HOUSING
  • Facility Address: 343 E 90TH DRIVE
    MERRILLVILLE, IN
    ZIP 46410
  • Facility Phone: 219 769-2145
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SANDRA L. ERICKSON
  • NPI Number: 1952832768
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2137513
LAB Type Assisted Living Facility
Facility Name BELVEDERE SENIOR HOUSING
Street 343 E 90TH DRIVE
City MERRILLVILLE
State IN
ZIP 46410
Phone 219 769-2145
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Assisted Living Facility
Lab Director SANDRA L. ERICKSON

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