15D2171138 CLIA NUMBER - SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS, INC

Laboratory Demographics

  • CLIA Code: 15D2171138
  • Facility Name: SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS, INC
  • Facility Address: 611 E DOUGLAS RD SUITE 300
    MISHAWAKA, IN
    ZIP 46545
  • Facility Phone: 574 335-6230
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. ERICA L. MARTIN
  • NPI Number: 1093746562
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2171138
LAB Type Hospital
Facility Name SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS, INC
Street 611 E DOUGLAS RD SUITE 300
City MISHAWAKA
State IN
ZIP 46545
Phone 574 335-6230
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Hospital
Lab Director DR. ERICA L. MARTIN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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