15D0662498 CLIA NUMBER - BRICKYARD HEALTHCARE - SYCAMORE VILLAGE CARE CENTER

Laboratory Demographics

  • CLIA Code: 15D0662498
  • Facility Name: BRICKYARD HEALTHCARE - SYCAMORE VILLAGE CARE CENTER
  • Facility Address: 2905 W SYCAMORE ST
    KOKOMO, IN
    ZIP 46901
  • Facility Phone: 765 452-5491
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TECHSIN T. TY
  • NPI Number: 1720030943
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0662498
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BRICKYARD HEALTHCARE - SYCAMORE VILLAGE CARE CENTER
Street 2905 W SYCAMORE ST
City KOKOMO
State IN
ZIP 46901
Phone 765 452-5491
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TECHSIN T. TY

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