15D2156736 CLIA NUMBER - SILVER BIRCH OF EVANSVILLE

Laboratory Demographics

  • CLIA Code: 15D2156736
  • Facility Name: SILVER BIRCH OF EVANSVILLE
  • Facility Address: 475 SOUTH GOVERNOR ST
    EVANSVILLE, IN
    ZIP 47713
  • Facility Phone: 812 254-4133
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JANINE BUZICK
  • NPI Number: 1316430465
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2156736
LAB Type Assisted Living Facility
Facility Name SILVER BIRCH OF EVANSVILLE
Street 475 SOUTH GOVERNOR ST
City EVANSVILLE
State IN
ZIP 47713
Phone 812 254-4133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2024
Certificate Expiration Date 10/23/2026
Facility Type Assisted Living Facility
Lab Director JANINE BUZICK

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