15D0944647 CLIA NUMBER - BRISTOL FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 15D0944647
  • Facility Name: BRISTOL FIRE DEPARTMENT
  • Facility Address: 405 E ELKHART ST
    BRISTOL, IN
    ZIP 46507
  • Facility Phone: 574 848-4155
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: LORI PURVIANCE
  • NPI Number: 1144354143
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 15D0944647
LAB Type Other
Facility Name BRISTOL FIRE DEPARTMENT
Street 405 E ELKHART ST
City BRISTOL
State IN
ZIP 46507
Phone 574 848-4155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Other
Lab Director LORI PURVIANCE

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