15D2045711 CLIA NUMBER - ANDERSON CENTER AT ST VINCENT ANDERSON

Laboratory Demographics

  • CLIA Code: 15D2045711
  • Facility Name: ANDERSON CENTER AT ST VINCENT ANDERSON
  • Facility Address: 2210 JACKSON STREET
    ANDERSON, IN
    ZIP 46016
  • Facility Phone: 765 646-8225
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: ELIZABETH C. BERTSCH
  • NPI Number: 1902367709
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 15D2045711
LAB Type Ancillary Testing Site in Health Care Center
Facility Name ANDERSON CENTER AT ST VINCENT ANDERSON
Street 2210 JACKSON STREET
City ANDERSON
State IN
ZIP 46016
Phone 765 646-8225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director ELIZABETH C. BERTSCH

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