15D2223409 CLIA NUMBER - SELAH HOUSE

Laboratory Demographics

  • CLIA Code: 15D2223409
  • Facility Name: SELAH HOUSE
  • Facility Address: 1180 N 300 E
    ANDERSON, IN
    ZIP 46012
  • Facility Phone: 765 641-0022
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: JESSICA WARD
  • NPI Number: 1699974568
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 15D2223409
LAB Type Hospital
Facility Name SELAH HOUSE
Street 1180 N 300 E
City ANDERSON
State IN
ZIP 46012
Phone 765 641-0022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2025
Certificate Expiration Date 5/5/2027
Facility Type Hospital
Lab Director JESSICA WARD

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