15D2322254 CLIA NUMBER - CARE FORCE ONE STRUCTURED FAMILY CARE LLC

Laboratory Demographics

  • CLIA Code: 15D2322254
  • Facility Name: CARE FORCE ONE STRUCTURED FAMILY CARE LLC
  • Facility Address: 2440 BROADWAY, STE B
    ANDERSON, IN
    ZIP 46012
  • Facility Phone: 765 640-1411
  • Facility Type: Other - PERSONAL SERVICES AGENCY
  • Facility Type: Waiver
  • Lab Director: LORA HOPPES
  • NPI Number: 1346922929
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 15D2322254
LAB Type Other - PERSONAL SERVICES AGENCY
Facility Name CARE FORCE ONE STRUCTURED FAMILY CARE LLC
Street 2440 BROADWAY, STE B
City ANDERSON
State IN
ZIP 46012
Phone 765 640-1411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Other - PERSONAL SERVICES AGENCY
Lab Director LORA HOPPES

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