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15D0035759 CLIA NUMBER - ASCENSION ST VINCENT WILLIAMSPORT

Laboratory Demographics

CLIA Number: 15D0035759

Facility Name: ASCENSION ST VINCENT WILLIAMSPORT

Facility Address:
412 N MONROE STREET
WILLIAMSPORT, IN
ZIP 47993
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Facility Phone Number: 765 762-4072

Facility Type: Hospital

Certificate Type: Accreditation
NPI Number: 1477966778

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 15D0035759
LAB Type Hospital
Facility Name ASCENSION ST VINCENT WILLIAMSPORT
Street 412 N MONROE STREET
City WILLIAMSPORT
State IN
ZIP 47993
Phone 765 762-4072
CertificateType 1
CertificateEffectiveDate 7/6/2022
CertificateExpirationDate 7/5/2024
FacilityType Accreditation

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This page was last updated on: 4/23/2024