15D2036055 CLIA NUMBER - DOCTORS BEHAVIORAL HOSPITAL, LLC

Laboratory Demographics

  • CLIA Code: 15D2036055
  • Facility Name: DOCTORS BEHAVIORAL HOSPITAL, LLC
  • Facility Address: 417 S WHITLOCK ST
    BREMEN, IN
    ZIP 46506
  • Facility Phone: 574 546-0330
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: DR. KASHIF JANJUA
  • NPI Number: 1700172970
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 15D2036055
LAB Type Hospital
Facility Name DOCTORS BEHAVIORAL HOSPITAL, LLC
Street 417 S WHITLOCK ST
City BREMEN
State IN
ZIP 46506
Phone 574 546-0330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Hospital
Lab Director DR. KASHIF JANJUA

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