15D0888522 CLIA NUMBER - AREA FIVE AGENCY ON AGING & COMMUNITY SERVICES

Laboratory Demographics

  • CLIA Code: 15D0888522
  • Facility Name: AREA FIVE AGENCY ON AGING & COMMUNITY SERVICES
  • Facility Address: 1801 SMITH ST STE 300
    LOGANSPORT, IN
    ZIP 46947
  • Facility Phone: 574 722-4451
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: CHARLES LA DOW
  • NPI Number: 1649301821
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 15D0888522
LAB Type School/Student Health Service
Facility Name AREA FIVE AGENCY ON AGING & COMMUNITY SERVICES
Street 1801 SMITH ST STE 300
City LOGANSPORT
State IN
ZIP 46947
Phone 574 722-4451
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type School/Student Health Service
Lab Director CHARLES LA DOW

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