15D2160696 CLIA NUMBER - SILVER BIRCH OF MISHAWAKA

Laboratory Demographics

  • CLIA Code: 15D2160696
  • Facility Name: SILVER BIRCH OF MISHAWAKA
  • Facility Address: 3630 HICKORY ROAD
    MISHAWAKA, IN
    ZIP 46545
  • Facility Phone: 574 404-5781
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NATASHA WELCH
  • NPI Number: 1639662596
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2160696
LAB Type Assisted Living Facility
Facility Name SILVER BIRCH OF MISHAWAKA
Street 3630 HICKORY ROAD
City MISHAWAKA
State IN
ZIP 46545
Phone 574 404-5781
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2025
Certificate Expiration Date 1/15/2027
Facility Type Assisted Living Facility
Lab Director NATASHA WELCH

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