15D2290611 CLIA NUMBER - MARTIN COUNTY URGENT CARE

Laboratory Demographics

  • CLIA Code: 15D2290611
  • Facility Name: MARTIN COUNTY URGENT CARE
  • Facility Address: 104 WOOD STREET
    LOOGOOTEE, IN
    ZIP 47553
  • Facility Phone: 812 296-4242
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JANET L. BAUGH
  • NPI Number: 1245954528
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 15D2290611
LAB Type Physician Office
Facility Name MARTIN COUNTY URGENT CARE
Street 104 WOOD STREET
City LOOGOOTEE
State IN
ZIP 47553
Phone 812 296-4242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Physician Office
Lab Director JANET L. BAUGH

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