15D2134590 CLIA NUMBER - SILVER BIRCH OF HAMMOND

Laboratory Demographics

  • CLIA Code: 15D2134590
  • Facility Name: SILVER BIRCH OF HAMMOND
  • Facility Address: 5620 SOHL AVENUE
    HAMMOND, IN
    ZIP 46320
  • Facility Phone: 219 937-9085
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NEYSA HOLMAN STEWART
  • NPI Number: 1073055703
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2134590
LAB Type Assisted Living Facility
Facility Name SILVER BIRCH OF HAMMOND
Street 5620 SOHL AVENUE
City HAMMOND
State IN
ZIP 46320
Phone 219 937-9085
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type Assisted Living Facility
Lab Director NEYSA HOLMAN STEWART

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