15D2252706 CLIA NUMBER - HEART 2 HEART HOMECARE

Laboratory Demographics

  • CLIA Code: 15D2252706
  • Facility Name: HEART 2 HEART HOMECARE
  • Facility Address: 200 RUSSELL STREET STE 103
    HAMMOND, IN
    ZIP 46320
  • Facility Phone: 219 501-7015
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: VALENCIA FLEGLER
  • NPI Number: 1902282296
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 15D2252706
LAB Type Home Health Agency
Facility Name HEART 2 HEART HOMECARE
Street 200 RUSSELL STREET STE 103
City HAMMOND
State IN
ZIP 46320
Phone 219 501-7015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Home Health Agency
Lab Director VALENCIA FLEGLER

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This page was last updated on: 3/20/2025