15D2103784 CLIA NUMBER - GREENE CO AMBULANCE SVC

Laboratory Demographics

  • CLIA Code: 15D2103784
  • Facility Name: GREENE CO AMBULANCE SVC
  • Facility Address: 217 E SPRING ST, STE 5
    BLOOMFIELD, IN
    ZIP 47424
  • Facility Phone: 812 384-3176
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DAVID J. DOANE
  • NPI Number: 1770581266
  • Taxonomy: 3416L0300X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2103784
LAB Type Ambulance
Facility Name GREENE CO AMBULANCE SVC
Street 217 E SPRING ST, STE 5
City BLOOMFIELD
State IN
ZIP 47424
Phone 812 384-3176
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2023
Certificate Expiration Date 10/19/2025
Facility Type Ambulance
Lab Director DAVID J. DOANE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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