15D0669587 CLIA NUMBER - STEUBEN COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 15D0669587
  • Facility Name: STEUBEN COUNTY HEALTH DEPARTMENT
  • Facility Address: 317 S WAYNE ST SUITE 3A
    ANGOLA, IN
    ZIP 46703
  • Facility Phone: 260 668-1000
  • Facility Type: Other - PUBLIC HEALTH AGENCY COUN
  • Facility Type: Waiver
  • Lab Director: TED J. CRISMAN
  • NPI Number: 1992342562
  • Taxonomy: 251K00000X - Public Health or Welfare

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D0669587
LAB Type Other - PUBLIC HEALTH AGENCY COUN
Facility Name STEUBEN COUNTY HEALTH DEPARTMENT
Street 317 S WAYNE ST SUITE 3A
City ANGOLA
State IN
ZIP 46703
Phone 260 668-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Other - PUBLIC HEALTH AGENCY COUN
Lab Director TED J. CRISMAN

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