15D2164421 CLIA NUMBER - CENTER FOR HEALING & HOPE

Laboratory Demographics

  • CLIA Code: 15D2164421
  • Facility Name: CENTER FOR HEALING & HOPE
  • Facility Address: 400 W LINCOLN AVE
    GOSHEN, IN
    ZIP 46526
  • Facility Phone: 574 534-4744
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: ROSE M. GILLIN
  • NPI Number: 1316561475
  • Taxonomy: 261QC1500X - Clinic/Center

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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
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/26/2023
Certificate Expiration Date 7/25/2025
Facility Type Community Clinic
Lab Director ROSE M. GILLIN

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This page was last updated on: 6/4/2025