15D2299886 CLIA NUMBER - URGENTCHOICE CARE

Laboratory Demographics

  • CLIA Code: 15D2299886
  • Facility Name: URGENTCHOICE CARE
  • Facility Address: 2004 W SYCAMORE STREET
    KOKOMO, IN
    ZIP 46901
  • Facility Phone: 574 780-0102
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: RENEE M. GOODRICH
  • NPI Number: 1508636945
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2299886
LAB Type Practitioner Other
Facility Name URGENTCHOICE CARE
Street 2004 W SYCAMORE STREET
City KOKOMO
State IN
ZIP 46901
Phone 574 780-0102
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2024
Certificate Expiration Date 2/27/2026
Facility Type Practitioner Other
Lab Director RENEE M. GOODRICH

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