15D2229004 CLIA NUMBER - MORGAN COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 15D2229004
  • Facility Name: MORGAN COUNTY HEALTH DEPARTMENT
  • Facility Address: 180 S MAIN ST #252
    MARTINSVILLE, IN
    ZIP 46151
  • Facility Phone: 765 342-6621
  • Facility Type: Public Health Laboratories
  • Facility Type: Waiver
  • Lab Director: PAUL BRODERICK
  • NPI Number: 1972947299
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 15D2229004
LAB Type Public Health Laboratories
Facility Name MORGAN COUNTY HEALTH DEPARTMENT
Street 180 S MAIN ST #252
City MARTINSVILLE
State IN
ZIP 46151
Phone 765 342-6621
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2025
Certificate Expiration Date 7/5/2027
Facility Type Public Health Laboratories
Lab Director PAUL BRODERICK

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