15D2253100 CLIA NUMBER - ASCENT HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 15D2253100
  • Facility Name: ASCENT HOSPICE, LLC
  • Facility Address: 1930 EDISON RD
    SOUTH BEND, IN
    ZIP 46617
  • Facility Phone: 574 213-2727
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: COLLEEN PEREGRINE
  • NPI Number: 1427700574
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 15D2253100
LAB Type Hospice
Facility Name ASCENT HOSPICE, LLC
Street 1930 EDISON RD
City SOUTH BEND
State IN
ZIP 46617
Phone 574 213-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2024
Certificate Expiration Date 2/16/2026
Facility Type Hospice
Lab Director COLLEEN PEREGRINE

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