15D2312817 CLIA NUMBER - CONCEPT THERAPY HOME HEALTH LLC

Laboratory Demographics

  • CLIA Code: 15D2312817
  • Facility Name: CONCEPT THERAPY HOME HEALTH LLC
  • Facility Address: 3222 E MISHAWAKA AVE
    SOUTH BEND, IN
    ZIP 46615
  • Facility Phone: 574 255-8730
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KAYLIE SEXTON
  • NPI Number: 1558856542
  • Taxonomy: 261QR0401X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2312817
LAB Type Home Health Agency
Facility Name CONCEPT THERAPY HOME HEALTH LLC
Street 3222 E MISHAWAKA AVE
City SOUTH BEND
State IN
ZIP 46615
Phone 574 255-8730
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Home Health Agency
Lab Director KAYLIE SEXTON

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