15D2112469 CLIA NUMBER - NORTH VERNON FIRE DEPT

Laboratory Demographics

  • CLIA Code: 15D2112469
  • Facility Name: NORTH VERNON FIRE DEPT
  • Facility Address: 2001 N MADISON AVE
    NORTH VERNON, IN
    ZIP 47265
  • Facility Phone: 812 346-3300
  • Facility Type: Other - ADV LIFE SUPPORT ENG
  • Facility Type: Waiver
  • Lab Director: MICHAEL W. COLE II
  • NPI Number: 1962731075
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 15D2112469
LAB Type Other - ADV LIFE SUPPORT ENG
Facility Name NORTH VERNON FIRE DEPT
Street 2001 N MADISON AVE
City NORTH VERNON
State IN
ZIP 47265
Phone 812 346-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2024
Certificate Expiration Date 4/28/2026
Facility Type Other - ADV LIFE SUPPORT ENG
Lab Director MICHAEL W. COLE II

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