CLIA lab

CLIA 15D1062891: Bloom at Kokomo

Kokomo, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 15D1062891 belongs to Bloom at Kokomo in Kokomo, IN.

Certificate of Waiver, effective December 29, 2024, expires December 28, 2026.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
December 29, 2024
Certificate expiration
December 28, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 29, 2006
Facility type
Assisted living facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
15D1062891
Lab name
Bloom at Kokomo
Address
2800 S Dixon Rd, Kokomo, IN 46902
Phone
(765) 455-2828

Annual test volume the lab reported

Waived tests
5,475

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Kokomo, IN

Related

Questions

What is the CLIA number for Bloom at Kokomo in Kokomo?

15D1062891, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Bloom at Kokomo hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D1062891 expire?

The CMS file lists December 28, 2026 as the certificate expiration date; the certificate took effect December 29, 2024.

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