15D2161967 CLIA NUMBER - SILVER BIRCH OF TERRE HAUTE

Laboratory Demographics

  • CLIA Code: 15D2161967
  • Facility Name: SILVER BIRCH OF TERRE HAUTE
  • Facility Address: 650 LAFAYETTE AVE
    TERRE HAUTE, IN
    ZIP 47807
  • Facility Phone: 812 237-0123
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JILL STOTT
  • NPI Number: 1548753403
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2161967
LAB Type Assisted Living Facility
Facility Name SILVER BIRCH OF TERRE HAUTE
Street 650 LAFAYETTE AVE
City TERRE HAUTE
State IN
ZIP 47807
Phone 812 237-0123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2025
Certificate Expiration Date 2/12/2027
Facility Type Assisted Living Facility
Lab Director JILL STOTT

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