15D2299461 CLIA NUMBER - SOLACE HOSPICE CARE

Laboratory Demographics

  • CLIA Code: 15D2299461
  • Facility Name: SOLACE HOSPICE CARE
  • Facility Address: 280 COMMERCIAL ST
    ROANOKE, IN
    ZIP 46783
  • Facility Phone: 260 600-9912
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: AMANDA BUNN
  • NPI Number: 1366200511
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 15D2299461
LAB Type Hospice
Facility Name SOLACE HOSPICE CARE
Street 280 COMMERCIAL ST
City ROANOKE
State IN
ZIP 46783
Phone 260 600-9912
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/21/2024
Certificate Expiration Date 2/20/2026
Facility Type Hospice
Lab Director AMANDA BUNN

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This page was last updated on: 3/20/2025