15D2150710 CLIA NUMBER - COMFORT 1 HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 15D2150710
  • Facility Name: COMFORT 1 HOSPICE LLC
  • Facility Address: 129 S DIXIE WAY SUITE B
    SOUTH BEND, IN
    ZIP 46637
  • Facility Phone: 574 387-4117
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: PAUL J. CHIMUTU
  • NPI Number: 1861989998
  • Taxonomy: 207RH0002X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2150710
LAB Type Hospice
Facility Name COMFORT 1 HOSPICE LLC
Street 129 S DIXIE WAY SUITE B
City SOUTH BEND
State IN
ZIP 46637
Phone 574 387-4117
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2024
Certificate Expiration Date 7/1/2026
Facility Type Hospice
Lab Director PAUL J. CHIMUTU

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