15D2234908 CLIA NUMBER - CARING COVE HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 15D2234908
  • Facility Name: CARING COVE HOSPICE, LLC
  • Facility Address: 3120 N HOME ST
    MISHAWAKA, IN
    ZIP 46545
  • Facility Phone: 574 855-3017
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JAMIE MEHTA
  • NPI Number: 1003486416
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 15D2234908
LAB Type Hospice
Facility Name CARING COVE HOSPICE, LLC
Street 3120 N HOME ST
City MISHAWAKA
State IN
ZIP 46545
Phone 574 855-3017
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2025
Certificate Expiration Date 9/2/2027
Facility Type Hospice
Lab Director JAMIE MEHTA

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