15D2128168 CLIA NUMBER - SALEM COMMUNITY MEDICAL SERVICES

Laboratory Demographics

  • CLIA Code: 15D2128168
  • Facility Name: SALEM COMMUNITY MEDICAL SERVICES
  • Facility Address: 1321 S JACKSON STREET
    SALEM, IN
    ZIP 47167
  • Facility Phone: 812 206-1362
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DOROTHY CLERICI
  • NPI Number: 1568907673
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2128168
LAB Type Federally Qualified Health Center
Facility Name SALEM COMMUNITY MEDICAL SERVICES
Street 1321 S JACKSON STREET
City SALEM
State IN
ZIP 47167
Phone 812 206-1362
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Federally Qualified Health Center
Lab Director DOROTHY CLERICI

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