15D0352745 CLIA NUMBER - JOHNSON NICHOLS HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 15D0352745
  • Facility Name: JOHNSON NICHOLS HEALTH CLINIC
  • Facility Address: 1542 S BLOOMINGTON ST
    GREENCASTLE, IN
    ZIP 46135
  • Facility Phone: 765 301-7380
  • Facility Type: Other - INDIANA COUNTY HOSPITAL
  • Facility Type: Microscopy
  • Lab Director: JOHN SAVAGE
  • NPI Number: 1114438579
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D0352745
LAB Type Other - INDIANA COUNTY HOSPITAL
Facility Name JOHNSON NICHOLS HEALTH CLINIC
Street 1542 S BLOOMINGTON ST
City GREENCASTLE
State IN
ZIP 46135
Phone 765 301-7380
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Other - INDIANA COUNTY HOSPITAL
Lab Director JOHN SAVAGE

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