15D2105526 CLIA NUMBER - JENNINGS CO EMS

Laboratory Demographics

  • CLIA Code: 15D2105526
  • Facility Name: JENNINGS CO EMS
  • Facility Address: 925 S STATE ST
    NORTH VERNON, IN
    ZIP 47265
  • Facility Phone: 812 346-4715
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DAVID GERTH
  • NPI Number: 1659406528
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 15D2105526
LAB Type Ambulance
Facility Name JENNINGS CO EMS
Street 925 S STATE ST
City NORTH VERNON
State IN
ZIP 47265
Phone 812 346-4715
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Ambulance
Lab Director DAVID GERTH

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