15D2148846 CLIA NUMBER - SILVER BIRCH OF KOKOMO

Laboratory Demographics

  • CLIA Code: 15D2148846
  • Facility Name: SILVER BIRCH OF KOKOMO
  • Facility Address: 408 S WASHINGTON STREET
    KOKOMO, IN
    ZIP 46901
  • Facility Phone: 765 868-7266
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MICHELLE N. HINZE
  • NPI Number: 1598274888
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2148846
LAB Type Assisted Living Facility
Facility Name SILVER BIRCH OF KOKOMO
Street 408 S WASHINGTON STREET
City KOKOMO
State IN
ZIP 46901
Phone 765 868-7266
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Assisted Living Facility
Lab Director MICHELLE N. HINZE

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