15D0899297 CLIA NUMBER - LOGANSPORT STATE HOSPITAL

Laboratory Demographics

  • CLIA Code: 15D0899297
  • Facility Name: LOGANSPORT STATE HOSPITAL
  • Facility Address: 1098 S ST RD 25
    LOGANSPORT, IN
    ZIP 46947
  • Facility Phone: 219 722-4141
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: DANNY MEADOWS
  • NPI Number: 1871565283
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 15D0899297
LAB Type Hospital
Facility Name LOGANSPORT STATE HOSPITAL
Street 1098 S ST RD 25
City LOGANSPORT
State IN
ZIP 46947
Phone 219 722-4141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Hospital
Lab Director DANNY MEADOWS

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