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15D0674900 CLIA NUMBER - JAY COUNTY HEALTH DEPARTMENT

Laboratory Demographics

CLIA Number: 15D0674900

Facility Name: JAY COUNTY HEALTH DEPARTMENT

Facility Address:
504 W ARCH ST
PORTLAND, IN
ZIP 47371
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Facility Phone Number: 317 726-8080

Facility Type: Other

Certificate Type: Waiver
NPI Number: 1467601757

Taxonomy: 207P00000X - Emergency Medicine
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

CLIA Record

Field Name Field Value
CLIA Number 15D0674900
LAB Type Other
Facility Name JAY COUNTY HEALTH DEPARTMENT
Street 504 W ARCH ST
City PORTLAND
State IN
ZIP 47371
Phone 317 726-8080
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024