15D2296979 CLIA NUMBER - FAIRFIELD HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 15D2296979
  • Facility Name: FAIRFIELD HEALTH CLINIC
  • Facility Address: 67315 COUNTY RD 31
    GOSHEN, IN
    ZIP 46528
  • Facility Phone: (574) 534-1143
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWARD W. BOYTS

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CLIA Record

Field Name Field Value
CLIA Number 15D2296979
LAB Type Physician Office
Facility Name FAIRFIELD HEALTH CLINIC
Street 67315 COUNTY RD 31
City GOSHEN
State IN
ZIP 46528
Phone 5745341143
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2026
Certificate Expiration Date 1/8/2028
Facility Type Physician Office
Lab Director EDWARD W. BOYTS

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This page was last updated on: 5/18/2026