15D0686203 CLIA NUMBER - MONTGOMERY COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 15D0686203
  • Facility Name: MONTGOMERY COUNTY HEALTH DEPARTMENT
  • Facility Address: 1580 CONSTITUTION ROW, SUITE G
    CRAWFORDSVILLE, IN
    ZIP 47933
  • Facility Phone: 765 364-6440
  • Facility Type: Public Health Laboratories
  • Facility Type: Waiver
  • Lab Director: LISA WOODROW
  • NPI Number: 1811386436
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 15D0686203
LAB Type Public Health Laboratories
Facility Name MONTGOMERY COUNTY HEALTH DEPARTMENT
Street 1580 CONSTITUTION ROW, SUITE G
City CRAWFORDSVILLE
State IN
ZIP 47933
Phone 765 364-6440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2024
Certificate Expiration Date 2/18/2026
Facility Type Public Health Laboratories
Lab Director LISA WOODROW

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