15D1089905 CLIA NUMBER - GOOD SAMARITAN HOSPITAL

Laboratory Demographics

  • CLIA Code: 15D1089905
  • Facility Name: GOOD SAMARITAN HOSPITAL
  • Facility Address: 406 N 1ST ST, FP120
    VINCENNES, IN
    ZIP 47591
  • Facility Phone: 812 882-1106
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: SCOTT STINE
  • NPI Number: 1154084358
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D1089905
LAB Type Rural Health Clinic
Facility Name GOOD SAMARITAN HOSPITAL
Street 406 N 1ST ST, FP120
City VINCENNES
State IN
ZIP 47591
Phone 812 882-1106
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Rural Health Clinic
Lab Director SCOTT STINE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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