15D0361078 CLIA NUMBER - DAVIESS COMMUNITY HOSPITAL DBA NORTH DAVIESS MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 15D0361078
  • Facility Name: DAVIESS COMMUNITY HOSPITAL DBA NORTH DAVIESS MEDICAL CLINIC
  • Facility Address: 202 NW STREET
    ODON, IN
    ZIP 47562
  • Facility Phone: 812 636-7300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNA M. LAMB
  • NPI Number: 1942368469
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D0361078
LAB Type Physician Office
Facility Name DAVIESS COMMUNITY HOSPITAL DBA NORTH DAVIESS MEDICAL CLINIC
Street 202 NW STREET
City ODON
State IN
ZIP 47562
Phone 812 636-7300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type Physician Office
Lab Director ANNA M. LAMB

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