15D2211347 CLIA NUMBER - AIR BIOHEALTH

Laboratory Demographics

  • CLIA Code: 15D2211347
  • Facility Name: AIR BIOHEALTH
  • Facility Address: 1714 CHARLESTOWN NEW ALBANY RD
    JEFFERSONVILLE, IN
    ZIP 47130
  • Facility Phone: 812 271-4240
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: STACEY M. GORE-GREEN
  • NPI Number: 1215527668
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 15D2211347
LAB Type Community Clinic
Facility Name AIR BIOHEALTH
Street 1714 CHARLESTOWN NEW ALBANY RD
City JEFFERSONVILLE
State IN
ZIP 47130
Phone 812 271-4240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Community Clinic
Lab Director STACEY M. GORE-GREEN

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