15D2305739 CLIA NUMBER - NCCH HOME HEALTH, LLC DBA DIGNITY CARE HOME HEALTH

Laboratory Demographics

  • CLIA Code: 15D2305739
  • Facility Name: NCCH HOME HEALTH, LLC DBA DIGNITY CARE HOME HEALTH
  • Facility Address: 235 WELCOME WAY BLVD W, BLDG 4 SUITE A15
    INDIANAPOLIS, IN
    ZIP 46214
  • Facility Phone: 513 530-1808
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MARWAN MUSTAKLEM
  • NPI Number: 1285419291
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 15D2305739
LAB Type Home Health Agency
Facility Name NCCH HOME HEALTH, LLC DBA DIGNITY CARE HOME HEALTH
Street 235 WELCOME WAY BLVD W, BLDG 4 SUITE A15
City INDIANAPOLIS
State IN
ZIP 46214
Phone 513 530-1808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2024
Certificate Expiration Date 6/4/2026
Facility Type Home Health Agency
Lab Director MARWAN MUSTAKLEM

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