15D0882467 CLIA NUMBER - PERRY COUNTY MEMORIAL HOSPITAL EMS

Laboratory Demographics

  • CLIA Code: 15D0882467
  • Facility Name: PERRY COUNTY MEMORIAL HOSPITAL EMS
  • Facility Address: 8885 STATE ROAD 237
    TELL CITY, IN
    ZIP 47586
  • Facility Phone: 812 547-7011
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MAULIK DESAI
  • NPI Number: 1629621396
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 15D0882467
LAB Type Other
Facility Name PERRY COUNTY MEMORIAL HOSPITAL EMS
Street 8885 STATE ROAD 237
City TELL CITY
State IN
ZIP 47586
Phone 812 547-7011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Other
Lab Director MAULIK DESAI

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