15D2090783 CLIA NUMBER - PUTNAM CO HOSP DBA PUTNAM PROMPT CARE

Laboratory Demographics

  • CLIA Code: 15D2090783
  • Facility Name: PUTNAM CO HOSP DBA PUTNAM PROMPT CARE
  • Facility Address: 1111 S CALBERT WAY
    GREENCASTLE, IN
    ZIP 46135
  • Facility Phone: 765 301-7030
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: CRAIG JOHNSON
  • NPI Number: 1295972412
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2090783
LAB Type Rural Health Clinic
Facility Name PUTNAM CO HOSP DBA PUTNAM PROMPT CARE
Street 1111 S CALBERT WAY
City GREENCASTLE
State IN
ZIP 46135
Phone 765 301-7030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2025
Certificate Expiration Date 1/29/2027
Facility Type Rural Health Clinic
Lab Director CRAIG JOHNSON

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