15D2025318 CLIA NUMBER - GREENDALE EMERGENCY MEDICAL SERVICES

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Laboratory Demographics

CLIA Number: 15D2025318

Facility Name: GREENDALE EMERGENCY MEDICAL SERVICES

Facility Address:
911 RIDGE AVE
GREENDALE, IN
ZIP 47025
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Facility Phone Number: 812 537-1335

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1699888180

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	15D2025318
LAB Type	Ambulance
Facility Name	GREENDALE EMERGENCY MEDICAL SERVICES
Street	911 RIDGE AVE
City	GREENDALE
State	IN
ZIP	47025
Phone	812 537-1335
CertificateType	4
CertificateEffectiveDate	6/6/2023
CertificateExpirationDate	6/5/2025
FacilityType	Waiver

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