15D2053368 CLIA NUMBER - ADAMS MEMORIAL HOSPITAL/DBA ADAMS GENERAL SURGERY

Laboratory Demographics

  • CLIA Code: 15D2053368
  • Facility Name: ADAMS MEMORIAL HOSPITAL/DBA ADAMS GENERAL SURGERY
  • Facility Address: 1100 MERCER AVENUE
    DECATUR, IN
    ZIP 46733
  • Facility Phone: 260 728-3982
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NICHOLAS NUSSBAUM
  • NPI Number: 1881726263
  • Taxonomy: 282NR1301X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 15D2053368
LAB Type Physician Office
Facility Name ADAMS MEMORIAL HOSPITAL/DBA ADAMS GENERAL SURGERY
Street 1100 MERCER AVENUE
City DECATUR
State IN
ZIP 46733
Phone 260 728-3982
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2025
Certificate Expiration Date 1/29/2027
Facility Type Physician Office
Lab Director NICHOLAS NUSSBAUM

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