15D0674900 CLIA NUMBER - JAY COUNTY HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 15D0674900
  • Facility Name: JAY COUNTY HEALTH DEPARTMENT
  • Facility Address: 504 W ARCH ST
    PORTLAND, IN
    ZIP 47371
  • Facility Phone: 317 726-8080
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DR. JERRY W. WHETZEL
  • NPI Number: 1467601757
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0674900
LAB Type Other
Facility Name JAY COUNTY HEALTH DEPARTMENT
Street 504 W ARCH ST
City PORTLAND
State IN
ZIP 47371
Phone 317 726-8080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Other
Lab Director DR. JERRY W. WHETZEL

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This page was last updated on: 6/4/2025