15D2314929 CLIA NUMBER - LEGACY HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 15D2314929
  • Facility Name: LEGACY HOSPICE LLC
  • Facility Address: 1119 KEYSTONE WAY SUITE 101A
    CARMEL, IN
    ZIP 46032
  • Facility Phone: 317 463-5683
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MICHAEL HILAND
  • NPI Number: 1609608041
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2314929
LAB Type Hospice
Facility Name LEGACY HOSPICE LLC
Street 1119 KEYSTONE WAY SUITE 101A
City CARMEL
State IN
ZIP 46032
Phone 317 463-5683
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Hospice
Lab Director MICHAEL HILAND

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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