15D2164421 CLIA NUMBER - CENTER FOR HEALING & HOPE

Laboratory Demographics

CLIA Number: 15D2164421

Facility Name: CENTER FOR HEALING & HOPE

Facility Address:
400 W LINCOLN AVE
GOSHEN, IN
ZIP 46526
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Facility Phone Number: 574 534-4744

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1316561475

Taxonomy: 261QC1500X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	15D2164421
LAB Type	Community Clinic
Facility Name	CENTER FOR HEALING & HOPE
Street	400 W LINCOLN AVE
City	GOSHEN
State	IN
ZIP	46526
Phone	574 534-4744
CertificateType	3
CertificateEffectiveDate	7/26/2023
CertificateExpirationDate	7/25/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024