15D0981113 CLIA NUMBER - DAVIESS COMMUNITY HOSPITAL

Laboratory Demographics

  • CLIA Code: 15D0981113
  • Facility Name: DAVIESS COMMUNITY HOSPITAL
  • Facility Address: 14020 GRANDE AVE
    WASHINGTON, IN
    ZIP 47501
  • Facility Phone: 812 257-0383
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: TANYA D. DE LA VERGNE
  • NPI Number: 1356468631
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D0981113
LAB Type Rural Health Clinic
Facility Name DAVIESS COMMUNITY HOSPITAL
Street 14020 GRANDE AVE
City WASHINGTON
State IN
ZIP 47501
Phone 812 257-0383
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2025
Certificate Expiration Date 7/10/2027
Facility Type Rural Health Clinic
Lab Director TANYA D. DE LA VERGNE

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