15D2119088 CLIA NUMBER - TIPPECANOE COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 15D2119088
  • Facility Name: TIPPECANOE COUNTY HEALTH DEPARTMENT
  • Facility Address: 1950 S 18TH ST
    LAFAYETTE, IN
    ZIP 47905
  • Facility Phone: 765 423-9221
  • Facility Type: Public Health Laboratories
  • Facility Type: Waiver
  • Lab Director: SEEMA KENGERI
  • NPI Number: 1891823910
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 15D2119088
LAB Type Public Health Laboratories
Facility Name TIPPECANOE COUNTY HEALTH DEPARTMENT
Street 1950 S 18TH ST
City LAFAYETTE
State IN
ZIP 47905
Phone 765 423-9221
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Public Health Laboratories
Lab Director SEEMA KENGERI

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