15D0667366 CLIA NUMBER - CLARK COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 15D0667366
  • Facility Name: CLARK COUNTY HEALTH DEPARTMENT
  • Facility Address: 1201 WALL STREET
    JEFFERSONVILLE, IN
    ZIP 47130
  • Facility Phone: 812 288-2706
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DOROTHY WATERHOUSE
  • NPI Number: 1467516641
  • Taxonomy: 171M00000X - Case Manager/Care Coordinator

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D0667366
LAB Type Community Clinic
Facility Name CLARK COUNTY HEALTH DEPARTMENT
Street 1201 WALL STREET
City JEFFERSONVILLE
State IN
ZIP 47130
Phone 812 288-2706
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2024
Certificate Expiration Date 3/12/2026
Facility Type Community Clinic
Lab Director DOROTHY WATERHOUSE

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