15D2264582 CLIA NUMBER - MIDDLE TWP PITTSBORO FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 15D2264582
  • Facility Name: MIDDLE TWP PITTSBORO FIRE DEPARTMENT
  • Facility Address: 400 E MAIN ST
    PITTSBORO, IN
    ZIP 46167
  • Facility Phone: 317 892-4386
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JEREMEY E. BAKER
  • NPI Number: 1124004619
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 15D2264582
LAB Type Ambulance
Facility Name MIDDLE TWP PITTSBORO FIRE DEPARTMENT
Street 400 E MAIN ST
City PITTSBORO
State IN
ZIP 46167
Phone 317 892-4386
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type Ambulance
Lab Director JEREMEY E. BAKER

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