15D0674504 CLIA NUMBER - SOUTH BEND FIRE EMS

Laboratory Demographics

  • CLIA Code: 15D0674504
  • Facility Name: SOUTH BEND FIRE EMS
  • Facility Address: 1222 S MICHIGAN ST
    SOUTH BEND, IN
    ZIP 46601
  • Facility Phone: 574 235-9255
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ANDREW J. MYER
  • NPI Number: 1487132114
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0674504
LAB Type Other
Facility Name SOUTH BEND FIRE EMS
Street 1222 S MICHIGAN ST
City SOUTH BEND
State IN
ZIP 46601
Phone 574 235-9255
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
Lab Director ANDREW J. MYER

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