15D2111513 CLIA NUMBER - ROBERT J KINSEY YOUTH CTR

Laboratory Demographics

  • CLIA Code: 15D2111513
  • Facility Name: ROBERT J KINSEY YOUTH CTR
  • Facility Address: 701 S BERKLEY RD
    KOKOMO, IN
    ZIP 46901
  • Facility Phone: 765 457-1408
  • Facility Type: Other - JUV DETENTION
  • Facility Type: Waiver
  • Lab Director: JEFF LIPINSKI
  • NPI Number: 1104849322
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 15D2111513
LAB Type Other - JUV DETENTION
Facility Name ROBERT J KINSEY YOUTH CTR
Street 701 S BERKLEY RD
City KOKOMO
State IN
ZIP 46901
Phone 765 457-1408
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Other - JUV DETENTION
Lab Director JEFF LIPINSKI

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