15D2296034 CLIA NUMBER - ALTRUISTIC LABS, LLC

Laboratory Demographics

  • CLIA Code: 15D2296034
  • Facility Name: ALTRUISTIC LABS, LLC
  • Facility Address: 1657 COMMERCE DRIVE
    SOUTH BEND, IN
    ZIP 46628
  • Facility Phone: 574 380-0007
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TOYA WILEY
  • NPI Number: 1366136251
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 15D2296034
LAB Type Home Health Agency
Facility Name ALTRUISTIC LABS, LLC
Street 1657 COMMERCE DRIVE
City SOUTH BEND
State IN
ZIP 46628
Phone 574 380-0007
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Home Health Agency
Lab Director TOYA WILEY

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