15D0935456 CLIA NUMBER - ADAMS COUNTY MEMORIAL HOSPITAL DBA WEDGEWOOD HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 15D0935456
  • Facility Name: ADAMS COUNTY MEMORIAL HOSPITAL DBA WEDGEWOOD HEALTHCARE CENTER
  • Facility Address: 101 POTTERS LANE
    CLARKSVILLE, IN
    ZIP 47129
  • Facility Phone: 812 948-0808
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SIRAJ SIDDIQI
  • NPI Number: 1689096018
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0935456
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ADAMS COUNTY MEMORIAL HOSPITAL DBA WEDGEWOOD HEALTHCARE CENTER
Street 101 POTTERS LANE
City CLARKSVILLE
State IN
ZIP 47129
Phone 812 948-0808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2023
Certificate Expiration Date 10/28/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SIRAJ SIDDIQI

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