15D2030620 CLIA NUMBER - GIBSON CO AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 15D2030620
  • Facility Name: GIBSON CO AMBULANCE SERVICE
  • Facility Address: 605 N EMBREE ST
    PRINCETON, IN
    ZIP 47670
  • Facility Phone: 812 385-8967
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MATTHEW GILBERT
  • NPI Number: 1255353967
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 15D2030620
LAB Type Ambulance
Facility Name GIBSON CO AMBULANCE SERVICE
Street 605 N EMBREE ST
City PRINCETON
State IN
ZIP 47670
Phone 812 385-8967
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type Ambulance
Lab Director MATTHEW GILBERT

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