15D0902376 CLIA NUMBER - PUTNAM COUNTY HOSPITAL DBA INTERNAL MEDICINE OF GREENCASTLE

Laboratory Demographics

  • CLIA Code: 15D0902376
  • Facility Name: PUTNAM COUNTY HOSPITAL DBA INTERNAL MEDICINE OF GREENCASTLE
  • Facility Address: 305 MEDIC WAY
    GREENCASTLE, IN
    ZIP 46135
  • Facility Phone: 765 653-4633
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TROY QUIZ
  • NPI Number: 1962129494
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D0902376
LAB Type Physician Office
Facility Name PUTNAM COUNTY HOSPITAL DBA INTERNAL MEDICINE OF GREENCASTLE
Street 305 MEDIC WAY
City GREENCASTLE
State IN
ZIP 46135
Phone 765 653-4633
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type Physician Office
Lab Director TROY QUIZ

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