15D2151778 CLIA NUMBER - MEADOWS MEDICAL CENTER LLC

Laboratory Demographics

  • CLIA Code: 15D2151778
  • Facility Name: MEADOWS MEDICAL CENTER LLC
  • Facility Address: 700 E FIRMIN ST STE 195
    KOKOMO, IN
    ZIP 46902
  • Facility Phone: 765 252-4575
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANA STEWART
  • NPI Number: 1710470265
  • Taxonomy: 2080T0002X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 15D2151778
LAB Type Physician Office
Facility Name MEADOWS MEDICAL CENTER LLC
Street 700 E FIRMIN ST STE 195
City KOKOMO
State IN
ZIP 46902
Phone 765 252-4575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Physician Office
Lab Director DANA STEWART

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