15D2234458 CLIA NUMBER - PES EMPLOYER CLINIC WHITLEY CONSOLIDATED SCHOOLS

Laboratory Demographics

  • CLIA Code: 15D2234458
  • Facility Name: PES EMPLOYER CLINIC WHITLEY CONSOLIDATED SCHOOLS
  • Facility Address: 107 N WALNUT ST
    COLUMBIA CITY, IN
    ZIP 46725
  • Facility Phone: 260 266-0234
  • Facility Type: Other - EMPLOYER CLINIC
  • Facility Type: Waiver
  • Lab Director: BRENDA O HARA
  • NPI Number: 1851776223
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 15D2234458
LAB Type Other - EMPLOYER CLINIC
Facility Name PES EMPLOYER CLINIC WHITLEY CONSOLIDATED SCHOOLS
Street 107 N WALNUT ST
City COLUMBIA CITY
State IN
ZIP 46725
Phone 260 266-0234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2025
Certificate Expiration Date 8/30/2027
Facility Type Other - EMPLOYER CLINIC
Lab Director BRENDA O HARA

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