15D2178166 CLIA NUMBER - DAVIESS COMMUNITY HOSPITAL DBA DAVIESS COMMUNITY HOSPITAL MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 15D2178166
  • Facility Name: DAVIESS COMMUNITY HOSPITAL DBA DAVIESS COMMUNITY HOSPITAL MEDICAL CLINIC
  • Facility Address: 1402 GRAND AVENUE
    WASHINGTON, IN
    ZIP 47501
  • Facility Phone: 812 254-6696
  • Facility Type: Other - TELE MEDICINE-GRADE SCHOO
  • Facility Type: Waiver
  • Lab Director: GREGORY W. BROWN
  • NPI Number: 1831257203
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2178166
LAB Type Other - TELE MEDICINE-GRADE SCHOO
Facility Name DAVIESS COMMUNITY HOSPITAL DBA DAVIESS COMMUNITY HOSPITAL MEDICAL CLINIC
Street 1402 GRAND AVENUE
City WASHINGTON
State IN
ZIP 47501
Phone 812 254-6696
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Other - TELE MEDICINE-GRADE SCHOO
Lab Director GREGORY W. BROWN

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