15D2184450 CLIA NUMBER - WAYNE COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 15D2184450
  • Facility Name: WAYNE COUNTY HEALTH DEPARTMENT
  • Facility Address: 100 SOUTH 5TH STREET
    RICHMOND, IN
    ZIP 47374
  • Facility Phone: 765 973-9245
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: DR. JENNIFER BALES
  • NPI Number: 1649313495
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 15D2184450
LAB Type Independent
Facility Name WAYNE COUNTY HEALTH DEPARTMENT
Street 100 SOUTH 5TH STREET
City RICHMOND
State IN
ZIP 47374
Phone 765 973-9245
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Independent
Lab Director DR. JENNIFER BALES

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