15D2174101 CLIA NUMBER - JESC

Laboratory Demographics

  • CLIA Code: 15D2174101
  • Facility Name: JESC
  • Facility Address: 647 W 2ND ST
    JASPER, IN
    ZIP 47546
  • Facility Phone: 812 266-2806
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: AARON PUGH
  • NPI Number: 1154887040
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2174101
LAB Type Ambulatory Surgery Center
Facility Name JESC
Street 647 W 2ND ST
City JASPER
State IN
ZIP 47546
Phone 812 266-2806
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2023
Certificate Expiration Date 10/23/2025
Facility Type Ambulatory Surgery Center
Lab Director AARON PUGH

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