15D2077271 CLIA NUMBER - FOUNTAIN COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 15D2077271
  • Facility Name: FOUNTAIN COUNTY HEALTH DEPARTMENT
  • Facility Address: 113 W SYCAMORE STREET
    ATTICA, IN
    ZIP 47918
  • Facility Phone: 765 762-3035
  • Facility Type: Public Health Laboratories
  • Facility Type: Waiver
  • Lab Director: JESSICA RICKETTS
  • NPI Number: 1457816613
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 15D2077271
LAB Type Public Health Laboratories
Facility Name FOUNTAIN COUNTY HEALTH DEPARTMENT
Street 113 W SYCAMORE STREET
City ATTICA
State IN
ZIP 47918
Phone 765 762-3035
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Public Health Laboratories
Lab Director JESSICA RICKETTS

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