15D0362144 CLIA NUMBER - SULLIVAN COUNTY COMMUNITY HOSPITAL

Laboratory Demographics

  • CLIA Code: 15D0362144
  • Facility Name: SULLIVAN COUNTY COMMUNITY HOSPITAL
  • Facility Address: 2200 N SECTION ST PO BOX 10
    SULLIVAN, IN
    ZIP 47882
  • Facility Phone: 812 268-4311
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: PATRICIA MILLER CANFIELD
  • NPI Number: 1154939320
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D0362144
LAB Type Hospital
Facility Name SULLIVAN COUNTY COMMUNITY HOSPITAL
Street 2200 N SECTION ST PO BOX 10
City SULLIVAN
State IN
ZIP 47882
Phone 812 268-4311
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 PATRICIA MILLER CANFIELD

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