15D2058181 CLIA NUMBER - FCC TERRE HAUTE FEDERAL BUR OF PRISONS

Laboratory Demographics

  • CLIA Code: 15D2058181
  • Facility Name: FCC TERRE HAUTE FEDERAL BUR OF PRISONS
  • Facility Address: 4400 BUREAU RD S
    TERRE HAUTE, IN
    ZIP 47802
  • Facility Phone: 812 244-4581
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: WILLIAM E. WILSON
  • NPI Number: 1700203544
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2058181
LAB Type Prison
Facility Name FCC TERRE HAUTE FEDERAL BUR OF PRISONS
Street 4400 BUREAU RD S
City TERRE HAUTE
State IN
ZIP 47802
Phone 812 244-4581
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Prison
Lab Director WILLIAM E. WILSON

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