15D1017824 CLIA NUMBER - GREENWOOD FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 15D1017824
  • Facility Name: GREENWOOD FIRE DEPARTMENT
  • Facility Address: 155 E MAIN ST
    GREENWOOD, IN
    ZIP 46143
  • Facility Phone: 317 882-2599
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DARIN L. HOGGATT
  • NPI Number: 1841528668
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 15D1017824
LAB Type Physician Office
Facility Name GREENWOOD FIRE DEPARTMENT
Street 155 E MAIN ST
City GREENWOOD
State IN
ZIP 46143
Phone 317 882-2599
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2023
Certificate Expiration Date 10/5/2025
Facility Type Physician Office
Lab Director DARIN L. HOGGATT

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