15D2184981 CLIA NUMBER - HARRISON COUNTY HOSPITAL EMS DEPARTMENT

Laboratory Demographics

  • CLIA Code: 15D2184981
  • Facility Name: HARRISON COUNTY HOSPITAL EMS DEPARTMENT
  • Facility Address: 1141 HOSPITAL DR NW
    CORYDON, IN
    ZIP 47112
  • Facility Phone: 812 738-7870
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JEREMY R. MCKIM
  • NPI Number: 1487120226
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2184981
LAB Type Ambulance
Facility Name HARRISON COUNTY HOSPITAL EMS DEPARTMENT
Street 1141 HOSPITAL DR NW
City CORYDON
State IN
ZIP 47112
Phone 812 738-7870
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2024
Certificate Expiration Date 5/27/2026
Facility Type Ambulance
Lab Director JEREMY R. MCKIM

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