15D2128387 CLIA NUMBER - S & S MEDICAL

Laboratory Demographics

  • CLIA Code: 15D2128387
  • Facility Name: S & S MEDICAL
  • Facility Address: 100 S MAIN STREET
    CLINTON, IN
    ZIP 47842
  • Facility Phone: 765 505-5200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRENDA E. SEIHOLD
  • NPI Number: 1508306713
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 15D2128387
LAB Type Physician Office
Facility Name S & S MEDICAL
Street 100 S MAIN STREET
City CLINTON
State IN
ZIP 47842
Phone 765 505-5200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Physician Office
Lab Director BRENDA E. SEIHOLD

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