15D2063508 CLIA NUMBER - GREENE COUNTY HEALTH INC

Laboratory Demographics

  • CLIA Code: 15D2063508
  • Facility Name: GREENE COUNTY HEALTH INC
  • Facility Address: 326 E MAIN ST
    JASONVILLE, IN
    ZIP 47438
  • Facility Phone: 812 665-9000
  • Facility Type: Other - FQHC LOOK-ALIKE
  • Facility Type: Waiver
  • Lab Director: BILLIE JO FRITCH
  • NPI Number: 1386042653
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2063508
LAB Type Other - FQHC LOOK-ALIKE
Facility Name GREENE COUNTY HEALTH INC
Street 326 E MAIN ST
City JASONVILLE
State IN
ZIP 47438
Phone 812 665-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Other - FQHC LOOK-ALIKE
Lab Director BILLIE JO FRITCH

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