15D0864880 CLIA NUMBER - GIBSON COUNTY AREA REHABILITATION CENTERS INC

Laboratory Demographics

  • CLIA Code: 15D0864880
  • Facility Name: GIBSON COUNTY AREA REHABILITATION CENTERS INC
  • Facility Address: 421 SOUTH MAIN STREET
    PRINCETON, IN
    ZIP 47670
  • Facility Phone: 812 386-6402
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ALLISON MOORMAN
  • NPI Number: 1598833246
  • Taxonomy: 343900000X - Non-emergency Medical Transport (VAN)

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CLIA Record

Field Name Field Value
CLIA Number 15D0864880
LAB Type Other
Facility Name GIBSON COUNTY AREA REHABILITATION CENTERS INC
Street 421 SOUTH MAIN STREET
City PRINCETON
State IN
ZIP 47670
Phone 812 386-6402
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 ALLISON MOORMAN

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