15D2025318 CLIA NUMBER - GREENDALE EMERGENCY MEDICAL SERVICES

Laboratory Demographics

  • CLIA Code: 15D2025318
  • Facility Name: GREENDALE EMERGENCY MEDICAL SERVICES
  • Facility Address: 911 RIDGE AVE
    GREENDALE, IN
    ZIP 47025
  • Facility Phone: 812 537-1335
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: CHAD NANZ
  • NPI Number: 1699888180
  • Taxonomy: 3416L0300X - Ambulance

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Ambulance
Lab Director CHAD NANZ

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