15D2178976 CLIA NUMBER - SILVER BIRCH AT COOK ROAD

Laboratory Demographics

  • CLIA Code: 15D2178976
  • Facility Name: SILVER BIRCH AT COOK ROAD
  • Facility Address: 3731 WEST COOK ROAD
    FORT WAYNE, IN
    ZIP 46818
  • Facility Phone: 260 490-2112
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CATHY VASIL
  • NPI Number: 1730712886
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2178976
LAB Type Assisted Living Facility
Facility Name SILVER BIRCH AT COOK ROAD
Street 3731 WEST COOK ROAD
City FORT WAYNE
State IN
ZIP 46818
Phone 260 490-2112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Assisted Living Facility
Lab Director CATHY VASIL

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