15D0362073 CLIA NUMBER - ASCENSION ST VINCENT CLAY

Laboratory Demographics

  • CLIA Code: 15D0362073
  • Facility Name: ASCENSION ST VINCENT CLAY
  • Facility Address: 1206 E NATIONAL AVENUE
    BRAZIL, IN
    ZIP 47834
  • Facility Phone: 812 442-2525
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. EDWARD R. WILLS
  • NPI Number: 1023421310
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 15D0362073
LAB Type Hospital
Facility Name ASCENSION ST VINCENT CLAY
Street 1206 E NATIONAL AVENUE
City BRAZIL
State IN
ZIP 47834
Phone 812 442-2525
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Hospital
Lab Director DR. EDWARD R. WILLS

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