15D0857155 CLIA NUMBER - TIPPECANOE COUNTY JAIL

Laboratory Demographics

  • CLIA Code: 15D0857155
  • Facility Name: TIPPECANOE COUNTY JAIL
  • Facility Address: 2640 DUNCAN RD
    LAFAYETTE, IN
    ZIP 47904
  • Facility Phone: 765 423-9388
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: KERR C. THOMAS
  • NPI Number: 1063497121
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 15D0857155
LAB Type Other
Facility Name TIPPECANOE COUNTY JAIL
Street 2640 DUNCAN RD
City LAFAYETTE
State IN
ZIP 47904
Phone 765 423-9388
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 KERR C. THOMAS

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