15D0679026 CLIA NUMBER - PERRY COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 15D0679026
  • Facility Name: PERRY COUNTY HEALTH DEPARTMENT
  • Facility Address: 3214 TELL ST, #1 PERRY COUNTY ARMORY ANNEX
    TELL CITY, IN
    ZIP 47586
  • Facility Phone: 812 547-2746
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: TARA LUCAS
  • NPI Number: 1053468884
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 15D0679026
LAB Type Community Clinic
Facility Name PERRY COUNTY HEALTH DEPARTMENT
Street 3214 TELL ST, #1 PERRY COUNTY ARMORY ANNEX
City TELL CITY
State IN
ZIP 47586
Phone 812 547-2746
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Community Clinic
Lab Director TARA LUCAS

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