Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
15D0907250
|
|
Clinical laboratory number
|
|
Lab Name
|
PEAK COMMUNITY SERVICES
|
|
Laboratory Name
|
|
Lab Type
|
Intermediate Care Facility for Mentally Retarded
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
574-753-4104
|
|
Laboratory telephone number
|
|
Fax
|
574-753-9861
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
1416 WOODLAWN AVE
|
|
Primary location adress line
|
|
City
|
LOGANSPORT
|
|
Primary location city name
|
|
State
|
IN
|
|
Primary location state name
|
|
Zip
|
46947
|
|
Primary location postal code
|