15D2107868 CLIA NUMBER - PATHFINDER KIDS KAMPUS (KLINIC)

Laboratory Demographics

CLIA Code: 15D2107868
Facility Name: PATHFINDER KIDS KAMPUS (KLINIC)
Facility Address: 435 CAMPUS ST
HUNTINGTON, IN
ZIP 46750
Facility Phone: 260 356-0123
Facility Type: Other - EARLY HEAD START
Facility Type: Waiver
Lab Director: JODIE L. CLARK
NPI Number: 1770629727
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Map and Directions

Get Directions

CLIA Record

Field Name	Field Value
CLIA Number	15D2107868
LAB Type	Other - EARLY HEAD START
Facility Name	PATHFINDER KIDS KAMPUS (KLINIC)
Street	435 CAMPUS ST
City	HUNTINGTON
State	IN
ZIP	46750
Phone	260 356-0123
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	1/25/2024
Certificate Expiration Date	1/24/2026
Facility Type	Other - EARLY HEAD START
Lab Director	JODIE L. CLARK

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