15D0956423 CLIA NUMBER - BLACKFORD COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 15D0956423
  • Facility Name: BLACKFORD COUNTY HEALTH DEPARTMENT
  • Facility Address: 506 E VAN CLEVE STREET
    HARTFORD CITY, IN
    ZIP 47348
  • Facility Phone: (765) 348-4317
  • Facility Type: Other - COUNTY HEALTH DEPARTMENT
  • Facility Type: Waiver
  • Lab Director: JULIE TWIBELL
  • NPI Number: 1174707673
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 15D0956423
LAB Type Other - COUNTY HEALTH DEPARTMENT
Facility Name BLACKFORD COUNTY HEALTH DEPARTMENT
Street 506 E VAN CLEVE STREET
City HARTFORD CITY
State IN
ZIP 47348
Phone 7653484317
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2025
Certificate Expiration Date 5/29/2027
Facility Type Other - COUNTY HEALTH DEPARTMENT
Lab Director JULIE TWIBELL

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This page was last updated on: 5/18/2026