15D2317914 CLIA NUMBER - INTEGUMED, LLC - DBA - KOKOMO URGENT CARE

Laboratory Demographics

  • CLIA Code: 15D2317914
  • Facility Name: INTEGUMED, LLC - DBA - KOKOMO URGENT CARE
  • Facility Address: 1958 WEST BOULEVARD
    KOKOMO, IN
    ZIP 46902
  • Facility Phone: 765 726-1821
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KELLEE PERRY
  • NPI Number: 1306569546
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2317914
LAB Type Practitioner Other
Facility Name INTEGUMED, LLC - DBA - KOKOMO URGENT CARE
Street 1958 WEST BOULEVARD
City KOKOMO
State IN
ZIP 46902
Phone 765 726-1821
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2025
Certificate Expiration Date 2/2/2027
Facility Type Practitioner Other
Lab Director KELLEE PERRY

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