15D0671988 CLIA NUMBER - UNION COUNTY HEALTH DEPT

Laboratory Demographics

  • CLIA Code: 15D0671988
  • Facility Name: UNION COUNTY HEALTH DEPT
  • Facility Address: 6 WEST SOUTH ST, STE 2
    LIBERTY, IN
    ZIP 47353
  • Facility Phone: 765 458-5393
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SUSAN H. BANTZ
  • NPI Number: 1881755577
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 15D0671988
LAB Type Community Clinic
Facility Name UNION COUNTY HEALTH DEPT
Street 6 WEST SOUTH ST, STE 2
City LIBERTY
State IN
ZIP 47353
Phone 765 458-5393
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2024
Certificate Expiration Date 5/1/2026
Facility Type Community Clinic
Lab Director SUSAN H. BANTZ

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