15D0880324 CLIA NUMBER - RANDOLPH CO EMS

Laboratory Demographics

  • CLIA Code: 15D0880324
  • Facility Name: RANDOLPH CO EMS
  • Facility Address: 110 HOSPITAL DR
    WINCHESTER, IN
    ZIP 47394
  • Facility Phone: 765 584-8055
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DIANNA L. SUTLIFF
  • NPI Number: 1366434888
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 15D0880324
LAB Type Other
Facility Name RANDOLPH CO EMS
Street 110 HOSPITAL DR
City WINCHESTER
State IN
ZIP 47394
Phone 765 584-8055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Other
Lab Director DIANNA L. SUTLIFF

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