15D2142885 CLIA NUMBER - IMANI AND UNIDAD, INC

Laboratory Demographics

  • CLIA Code: 15D2142885
  • Facility Name: IMANI AND UNIDAD, INC
  • Facility Address: 914 LINCOLNWAY WEST
    SOUTH BEND, IN
    ZIP 46616
  • Facility Phone: 574 288-2887
  • Facility Type: Other - COMMUNITY BASED ORGANIZAT
  • Facility Type: Waiver
  • Lab Director: DEBRA M. STANLEY
  • NPI Number: 1164065728
  • Taxonomy: 251S00000X - Community/Behavioral Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2142885
LAB Type Other - COMMUNITY BASED ORGANIZAT
Facility Name IMANI AND UNIDAD, INC
Street 914 LINCOLNWAY WEST
City SOUTH BEND
State IN
ZIP 46616
Phone 574 288-2887
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2024
Certificate Expiration Date 1/21/2026
Facility Type Other - COMMUNITY BASED ORGANIZAT
Lab Director DEBRA M. STANLEY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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