15D0915129 CLIA NUMBER - GREENE COUNTY GENERAL HOSPITAL DBA MY WORTHINGTON CLINIC

Laboratory Demographics

  • CLIA Code: 15D0915129
  • Facility Name: GREENE COUNTY GENERAL HOSPITAL DBA MY WORTHINGTON CLINIC
  • Facility Address: 102 E MAIN ST
    WORTHINGTON, IN
    ZIP 47471
  • Facility Phone: 812 847-5212
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: SARAH B. FLEMMING
  • NPI Number: 1962999599
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D0915129
LAB Type Rural Health Clinic
Facility Name GREENE COUNTY GENERAL HOSPITAL DBA MY WORTHINGTON CLINIC
Street 102 E MAIN ST
City WORTHINGTON
State IN
ZIP 47471
Phone 812 847-5212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Rural Health Clinic
Lab Director SARAH B. FLEMMING

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