15D2197381 CLIA NUMBER - GRAND VALLEY GARDENS

Laboratory Demographics

  • CLIA Code: 15D2197381
  • Facility Name: GRAND VALLEY GARDENS
  • Facility Address: 1151 S HUBERT CIRCLE WEST
    MARTINSVILLE, IN
    ZIP 46151
  • Facility Phone: 765 558-8200
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MICHELLE HEACOCK
  • NPI Number: 1013926823
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2197381
LAB Type Assisted Living Facility
Facility Name GRAND VALLEY GARDENS
Street 1151 S HUBERT CIRCLE WEST
City MARTINSVILLE
State IN
ZIP 46151
Phone 765 558-8200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Assisted Living Facility
Lab Director MICHELLE HEACOCK

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