15D2066792 CLIA NUMBER - HEALTHY HORIZONS PEDIATRICS

Laboratory Demographics

  • CLIA Code: 15D2066792
  • Facility Name: HEALTHY HORIZONS PEDIATRICS
  • Facility Address: 419 E LINCOLN RD
    KOKOMO, IN
    ZIP 46902
  • Facility Phone: 765 864-2400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OLATUBOSUN OGUNTOYE
  • NPI Number: 1164859880
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 15D2066792
LAB Type Physician Office
Facility Name HEALTHY HORIZONS PEDIATRICS
Street 419 E LINCOLN RD
City KOKOMO
State IN
ZIP 46902
Phone 765 864-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2025
Certificate Expiration Date 10/2/2027
Facility Type Physician Office
Lab Director OLATUBOSUN OGUNTOYE

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