15D0358654 CLIA NUMBER - UROLOGY OF INDIANA-KOKOMO

Laboratory Demographics

  • CLIA Code: 15D0358654
  • Facility Name: UROLOGY OF INDIANA-KOKOMO
  • Facility Address: 2345 W LINCOLN RD
    KOKOMO, IN
    ZIP 46902
  • Facility Phone: 765 455-4075
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEPHEN MILLER
  • NPI Number: 1104026160
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 15D0358654
LAB Type Physician Office
Facility Name UROLOGY OF INDIANA-KOKOMO
Street 2345 W LINCOLN RD
City KOKOMO
State IN
ZIP 46902
Phone 765 455-4075
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/5/2023
Certificate Expiration Date 10/4/2025
Facility Type Physician Office
Lab Director STEPHEN MILLER

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This page was last updated on: 6/4/2025