15D1024116 CLIA NUMBER - CITY OF LAWRENCE FIRE DEPART

Laboratory Demographics

CLIA Number: 15D1024116

Facility Name: CITY OF LAWRENCE FIRE DEPART

Facility Address:
LAWRENCE GOVERNMENT CENTER 9001 E 59TH ST, STE 204
LAWRENCE, IN
ZIP 46216
Get Directions

Facility Phone Number: 317 547-4371

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1154307650

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	15D1024116
LAB Type	Ambulance
Facility Name	CITY OF LAWRENCE FIRE DEPART
Street	LAWRENCE GOVERNMENT CENTER 9001 E 59TH ST, STE 204
City	LAWRENCE
State	IN
ZIP	46216
Phone	317 547-4371
CertificateType	4
CertificateEffectiveDate	4/2/2024
CertificateExpirationDate	4/1/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024