15D2094254 CLIA NUMBER - ST VINCENT JENNINGS POCT LAB

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Laboratory Demographics

CLIA Number: 15D2094254

Facility Name: ST VINCENT JENNINGS POCT LAB

Facility Address:
301 HENRY ST
NORTH VERNON, IN
ZIP 47265
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Facility Phone Number: 812 352-4228

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1285708008

Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

CLIA Record

Field Name	Field Value
CLIA Number	15D2094254
LAB Type	Hospital
Facility Name	ST VINCENT JENNINGS POCT LAB
Street	301 HENRY ST
City	NORTH VERNON
State	IN
ZIP	47265
Phone	812 352-4228
CertificateType	4
CertificateEffectiveDate	4/14/2023
CertificateExpirationDate	4/13/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024