15D2258923 CLIA NUMBER - GILEAD HOUSE, INC

Laboratory Demographics

  • CLIA Code: 15D2258923
  • Facility Name: GILEAD HOUSE, INC
  • Facility Address: 406 E SYCAMORE STREET
    KOKOMO, IN
    ZIP 46901
  • Facility Phone: 765 865-9427
  • Facility Type: Other - RECOVERY RESIDENCE
  • Facility Type: Waiver
  • Lab Director: REBA L. HARRIS
  • NPI Number: 1194218024
  • Taxonomy: 261QM0850X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2258923
LAB Type Other - RECOVERY RESIDENCE
Facility Name GILEAD HOUSE, INC
Street 406 E SYCAMORE STREET
City KOKOMO
State IN
ZIP 46901
Phone 765 865-9427
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2024
Certificate Expiration Date 4/27/2026
Facility Type Other - RECOVERY RESIDENCE
Lab Director REBA L. HARRIS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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