15D2270476 CLIA NUMBER - LAWRENCE COUNTY FIRE TERRITORY

Laboratory Demographics

  • CLIA Code: 15D2270476
  • Facility Name: LAWRENCE COUNTY FIRE TERRITORY
  • Facility Address: 1327 SUNNY ACRES DRIVE
    BEDFORD, IN
    ZIP 47421
  • Facility Phone: 812 583-7112
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: ROBERT BROWN
  • NPI Number: 1215157615
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 15D2270476
LAB Type Ambulance
Facility Name LAWRENCE COUNTY FIRE TERRITORY
Street 1327 SUNNY ACRES DRIVE
City BEDFORD
State IN
ZIP 47421
Phone 812 583-7112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Ambulance
Lab Director ROBERT BROWN

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