15D2328138 CLIA NUMBER - WILLOWS HOLDINGS LLC, DBA THE WILLOWS HOSPICE, THE

Laboratory Demographics

  • CLIA Code: 15D2328138
  • Facility Name: WILLOWS HOLDINGS LLC, DBA THE WILLOWS HOSPICE, THE
  • Facility Address: 9150 E 109TH AVE, SUITE 3A
    CROWN POINT, IN
    ZIP 46307
  • Facility Phone: 219 332-5101
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MARYANN BURK
  • NPI Number: 1841184371
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2328138
LAB Type Hospice
Facility Name WILLOWS HOLDINGS LLC, DBA THE WILLOWS HOSPICE, THE
Street 9150 E 109TH AVE, SUITE 3A
City CROWN POINT
State IN
ZIP 46307
Phone 219 332-5101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Hospice
Lab Director MARYANN BURK

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