15D0675019 CLIA NUMBER - PUTNAM COUNTY EMS

Laboratory Demographics

  • CLIA Code: 15D0675019
  • Facility Name: PUTNAM COUNTY EMS
  • Facility Address: 513 S BLOOMINGTON STREET
    GREENCASTLE, IN
    ZIP 46135
  • Facility Phone: 765 653-3600
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: KELLY RUSS
  • NPI Number: 1265436166
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 15D0675019
LAB Type Mobile Laboratory
Facility Name PUTNAM COUNTY EMS
Street 513 S BLOOMINGTON STREET
City GREENCASTLE
State IN
ZIP 46135
Phone 765 653-3600
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 Mobile Laboratory
Lab Director KELLY RUSS

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