15D2330360 CLIA NUMBER - RESTORED LIFE HEALTH NETWORK

Laboratory Demographics

  • CLIA Code: 15D2330360
  • Facility Name: RESTORED LIFE HEALTH NETWORK
  • Facility Address: 302 S REED RD SUITE 101
    KOKOMO, IN
    ZIP 46901
  • Facility Phone: 765 789-7689
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: JACQUELINE HURT
  • NPI Number: 1487430864
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2330360
LAB Type Physician Office
Facility Name RESTORED LIFE HEALTH NETWORK
Street 302 S REED RD SUITE 101
City KOKOMO
State IN
ZIP 46901
Phone 765 789-7689
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Physician Office
Lab Director JACQUELINE HURT

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