15D0670232 CLIA NUMBER - HENRY COUNTY MEMORIAL HOSPITAL DBA GOOD SAMARITAN HOME & REHABILITATIVE CENTER

Laboratory Demographics

  • CLIA Code: 15D0670232
  • Facility Name: HENRY COUNTY MEMORIAL HOSPITAL DBA GOOD SAMARITAN HOME & REHABILITATIVE CENTER
  • Facility Address: 231 N JACKSON ST
    OAKLAND CITY, IN
    ZIP 47660
  • Facility Phone: 812 749-4774
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SHERYL BURBAKER
  • NPI Number: 1801871082
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0670232
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HENRY COUNTY MEMORIAL HOSPITAL DBA GOOD SAMARITAN HOME & REHABILITATIVE CENTER
Street 231 N JACKSON ST
City OAKLAND CITY
State IN
ZIP 47660
Phone 812 749-4774
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 Skilled Nursing Facility/Nursing Facility
Lab Director SHERYL BURBAKER

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