15D0673235 CLIA NUMBER - WASHINGTON CO HEALTH DEPT

Laboratory Demographics

CLIA Number: 15D0673235

Facility Name: WASHINGTON CO HEALTH DEPT

Facility Address:
806 MARTINSBURG RD STE #100
SALEM, IN
ZIP 47167
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Facility Phone Number: 812 883-2349

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1124062419

Taxonomy: 282NC0060X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	15D0673235
LAB Type	Other
Facility Name	WASHINGTON CO HEALTH DEPT
Street	806 MARTINSBURG RD STE #100
City	SALEM
State	IN
ZIP	47167
Phone	812 883-2349
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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